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NPI Code Detail

MEDICARE: EYESIGHT DIAGNOSTICS, INC.

MEDICARE: EYESIGHT DIAGNOSTICS, INC.
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
1293D00000XPhysiological Laboratory

General Provider Information

NPI Number : 1770415952
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYESIGHT DIAGNOSTICS, INC.
Provider Business Mailing Address
First Line : 353 WOBURN ST
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-2306
Country : US
Telephone Number : 817-734-8303
Fax Number :
Provider Business Practice Location Address
First Line : 353 WOBURN ST
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-2306
Country : US
Telephone Number : 817-201-3536
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. RAKESH LAL
Credential :
Telephone Number : 817-734-8303
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/04/2026

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Directions to “EYESIGHT DIAGNOSTICS, INC. ” Practice Location

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