Healthcare Provider Details

I. General information

NPI: 1770415952
Provider Name (Legal Business Name): EYESIGHT DIAGNOSTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 WOBURN ST
LEXINGTON MA
02420-2306
US

IV. Provider business mailing address

353 WOBURN ST
LEXINGTON MA
02420-2306
US

V. Phone/Fax

Practice location:
  • Phone: 817-201-3536
  • Fax:
Mailing address:
  • Phone: 817-734-8303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. RAKESH LAL
Title or Position: CEO
Credential:
Phone: 817-734-8303