Provider Demographics
NPI:1861267700
Name:LOOK OPTICAL
Entity type:Organization
Organization Name:LOOK OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEE JONF
Authorized Official - Middle Name:
Authorized Official - Last Name:BAEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-366-1130
Mailing Address - Street 1:11 LIBERTY PLZ UNIT C
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-5590
Mailing Address - Country:US
Mailing Address - Phone:302-366-1130
Mailing Address - Fax:
Practice Address - Street 1:11 LIBERTY PLZ UNIT C
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-5590
Practice Address - Country:US
Practice Address - Phone:302-366-1130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty