Provider Demographics
NPI:1013419860
Name:CLOSER LOOK EYECARE, INC.
Entity Type:Organization
Organization Name:CLOSER LOOK EYECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY/PRESIDENT OF CO
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-827-9592
Mailing Address - Street 1:13420 WEST COAL MINE AVENUE
Mailing Address - Street 2:WALMART VISION CENTER - ATTN: DR. SANGER
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5406
Mailing Address - Country:US
Mailing Address - Phone:303-979-5652
Mailing Address - Fax:303-979-5654
Practice Address - Street 1:13420 WEST COAL MINE AVENUE
Practice Address - Street 2:WALMART VISION CENTER
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5406
Practice Address - Country:US
Practice Address - Phone:303-979-5652
Practice Address - Fax:303-979-5654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2491152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty