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NPI Code Detail

MEDICARE: SIGHTRITE MEDICAL MD LLC

MEDICARE: SIGHTRITE MEDICAL MD LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1659185056
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIGHTRITE MEDICAL MD LLC
Provider Business Mailing Address
First Line : PO BOX 110535
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-0535
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 520 GLENBURN AVE
Second Line :
City : CAMBRIDGE
State : MD
Zip : 21613-1415
Country : US
Telephone Number : 212-764-0008
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JACOB FINESTONE
Credential :
Telephone Number : 212-764-0008
Provider Enumeration Date : 02/05/2025
Last Update Date : 02/05/2025

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