Provider Demographics
NPI:1982005930
Name:MOKA FAMILY EYE CARE, PLLC
Entity Type:Organization
Organization Name:MOKA FAMILY EYE CARE, PLLC
Other - Org Name:BEST IN SIGHT EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:602-684-2067
Mailing Address - Street 1:101 W 84TH AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-4807
Mailing Address - Country:US
Mailing Address - Phone:303-426-5550
Mailing Address - Fax:303-426-1180
Practice Address - Street 1:101 W 84TH AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-4807
Practice Address - Country:US
Practice Address - Phone:303-426-5550
Practice Address - Fax:303-426-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2966152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty