Provider Demographics
NPI:1265881965
Name:LOOK OPTOMETRY INC
Entity type:Organization
Organization Name:LOOK OPTOMETRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:310-796-5665
Mailing Address - Street 1:451 MANHATTAN BEACH BLVD STE D120
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-5360
Mailing Address - Country:US
Mailing Address - Phone:310-796-5665
Mailing Address - Fax:
Practice Address - Street 1:451 MANHATTAN BEACH BLVD STE D120
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-5360
Practice Address - Country:US
Practice Address - Phone:310-796-5665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT9090T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty