Healthcare Provider Details

I. General information

NPI: 1326319948
Provider Name (Legal Business Name): BETTER SIGHT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2012
Last Update Date: 01/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 MAIN ST. C/O SEARS OPTICAL
HACKENSACK NJ
07601
US

IV. Provider business mailing address

436 MAIN STREET C/O SEARS OPTICAL
HACKENSACK NJ
07601
US

V. Phone/Fax

Practice location:
  • Phone: 201-488-7119
  • Fax:
Mailing address:
  • Phone: 201-723-1884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number27OA00503300
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1669684908
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerNPI

VIII. Authorized Official

Name: DR. IRINA PERELMAN-GRABOIS
Title or Position: PRESIDENT
Credential: OD
Phone: 201-723-1884