Healthcare Provider Details
I. General information
NPI: 1558352013
Provider Name (Legal Business Name): CENTER FOR SIGHT, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/03/2005
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1565 N MAIN ST STE 406
FALL RIVER MA
02720-2972
US
IV. Provider business mailing address
1565 N MAIN ST STE 406
FALL RIVER MA
02720-2972
US
V. Phone/Fax
- Phone: 508-730-2020
- Fax: 508-677-2514
- Phone: 508-730-2020
- Fax: 508-677-2514
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | MA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
KELLY
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 508-730-2020