Provider Demographics
NPI:1952556508
Name:DOUGLAS H SHARPE OD P C
Entity Type:Organization
Organization Name:DOUGLAS H SHARPE OD P C
Other - Org Name:A TO Z EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-883-2783
Mailing Address - Street 1:13402 W COAL MINE AVE
Mailing Address - Street 2:STE 120
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5408
Mailing Address - Country:US
Mailing Address - Phone:303-985-2020
Mailing Address - Fax:303-979-2212
Practice Address - Street 1:13402 W COAL MINE AVE
Practice Address - Street 2:STE 120
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5408
Practice Address - Country:US
Practice Address - Phone:303-985-2020
Practice Address - Fax:303-979-2212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1491152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08014912Medicaid