Provider Demographics
NPI:1578449856
Name:BLUE SKY OPTICAL GROUP
Entity type:Organization
Organization Name:BLUE SKY OPTICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST / PRIMARY
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:MICHOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-706-9900
Mailing Address - Street 1:100 FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4916
Mailing Address - Country:US
Mailing Address - Phone:303-322-7507
Mailing Address - Fax:
Practice Address - Street 1:7301 S SANTA FE DR UNIT 245
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-3071
Practice Address - Country:US
Practice Address - Phone:303-706-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty