Healthcare Provider Details

I. General information

NPI: 1144185778
Provider Name (Legal Business Name): CHERRY GLEN SIGHT & STYLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S HOLLY ST STE 106
DENVER CO
80246-1435
US

IV. Provider business mailing address

600 S HOLLY ST STE 106
DENVER CO
80246-1435
US

V. Phone/Fax

Practice location:
  • Phone: 720-303-0898
  • Fax: 720-303-0897
Mailing address:
  • Phone: 720-303-0898
  • Fax: 720-303-0897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES KEITH CUTLER
Title or Position: CO-OWNER
Credential: OD
Phone: 815-302-9019