Healthcare Provider Details

I. General information

NPI: 1750734463
Provider Name (Legal Business Name): DANNY SANCHEZ O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2016
Last Update Date: 07/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E BRIDGE ST STE A
BRIGHTON CO
80601-2275
US

IV. Provider business mailing address

1001 E BRIDGE ST STE A
BRIGHTON CO
80601-2275
US

V. Phone/Fax

Practice location:
  • Phone: 303-659-3036
  • Fax:
Mailing address:
  • Phone: 303-659-3036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0003239
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: