NPIMap

Organization Active NPI

Look Optical, PC

Doing business as Look Optical

  • Optometrist
  • Denver, CO
National Provider Identifier
1801820469
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1910 Issued in CO
Legal business name
LOOK OPTICAL, PC
Doing business as
Look Optical
Practice address
5790 W 44TH Ave
Denver, CO 80212-7340
Phone
(303) 421-4422
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mansur Nurdel, O.D.NPI 1023166204
Title
Owner
Phone
(309) 808-3112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1910 CO Primary

Addresses

Primary practice location

5790 W 44TH Ave
Denver, CO 80212-7340

Mailing address

5790 W 44TH Ave
Denver, CO 80212-7340
Phone (303) 421-4422

Other practice location 1

3130 S Parker Rd
Aurora, CO 80014-3110
Phone (303) 752-2662

Other practice location 2

8737 Sheridan Blvd
Westminster, CO 80003-1440
Phone (303) 412-6570

Other practice location 3

2010 S University Blvd
Denver, CO 80210-4319
Phone (303) 778-0060

Other practice location 4

4804 Chambers Rd
Denver, CO 80239-5152
Phone (303) 576-6655

Other identifiers 1

IdentifierTypeStateIssuer
22176071MedicaidCO

Other names 2

  • LOOK OPTICAL Doing business as
  • Look Optical (West 44th St - 1760046015) Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040719000812 CO Part B Supplier - Clinic/Group Practice 2668451055 Receives reassigned benefits from 17 practitioners
Practice locations: Aurora, CO; Denver, CO; Westminster, CO

National Provider Directory

National Provider Directory

Locations

2010 S University Blvd
Denver, CO 80210
Phone (303) 765-2020

3622 E Highlands Ranch Pkwy
Unit 101
Highlands Ranch, CO 80126
Phone (303) 683-4466

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1801820469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127340",
            "telephone_number": "303-421-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127340",
            "telephone_number": "303-421-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 S Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800143110",
            "country_code": "US",
            "telephone_number": "303-752-2662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8737 Sheridan Blvd",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800031440",
            "country_code": "US",
            "telephone_number": "303-412-6570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 S University Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802104319",
            "country_code": "US",
            "telephone_number": "303-778-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4804 Chambers Rd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802395152",
            "country_code": "US",
            "telephone_number": "303-576-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOOK OPTICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "NURDEL",
        "authorized_official_first_name": "MANSUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-808-3112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22176071",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOOK OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Look Optical (West 44th St - 1760046015)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.