Provider Demographics
NPI:1538766654
Name:SKY HIGH VISION, PLLC
Entity type:Organization
Organization Name:SKY HIGH VISION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:J
Authorized Official - Last Name:OFCHINICK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-556-9197
Mailing Address - Street 1:9424 KILMER WAY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-7883
Mailing Address - Country:US
Mailing Address - Phone:724-556-9197
Mailing Address - Fax:
Practice Address - Street 1:14749 W 87TH PKWY
Practice Address - Street 2:UNIT D
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005
Practice Address - Country:US
Practice Address - Phone:720-673-0555
Practice Address - Fax:720-664-8448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty