Healthcare Provider Details

I. General information

NPI: 1710791108
Provider Name (Legal Business Name): SIGHTRITE MEDICAL MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 ACADEMY RD
CATONSVILLE MD
21228-1802
US

IV. Provider business mailing address

PO BOX 110535
BROOKLYN NY
11211-0535
US

V. Phone/Fax

Practice location:
  • Phone: 212-764-0008
  • Fax:
Mailing address:
  • Phone: 718-633-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: JACOB FINESTONE
Title or Position: OWNER
Credential:
Phone: 718-633-2455