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NPI Code Detail

MEDICARE: SIGHTRITE MEDICAL MI PLLC

MEDICARE: SIGHTRITE MEDICAL MI PLLC
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
1207W00000XOphthalmology Physician
2152W00000XOptometrist

General Provider Information

NPI Number : 1891158770
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIGHTRITE MEDICAL MI PLLC
Provider Business Mailing Address
First Line : P.O.BOX 110535
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-0535
Country : US
Telephone Number : 212-764-0008
Fax Number :
Provider Business Practice Location Address
First Line : 232 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-6250
Country : US
Telephone Number : 212-764-0008
Fax Number :
Authorized Official
Title or Position : MD
Name : DR. JACOB FINESTONE
Credential :
Telephone Number : 212-764-0008
Provider Enumeration Date : 03/30/2016
Last Update Date : 03/30/2016

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