Healthcare Provider Details
I. General information
NPI: 1336562644
Provider Name (Legal Business Name): SIGHTRITE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2014
Last Update Date: 12/03/2020
Certification Date: 12/03/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
153 DIVISION AVE
BROOKLYN NY
11211-8263
US
IV. Provider business mailing address
267 BROADWAY
BROOKLYN NY
11211-6216
US
V. Phone/Fax
- Phone: 718-633-2455
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 156FX1800X |
| Taxonomy | Optician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SOL
KLEIN
Title or Position: PRESIDENT
Credential:
Phone: 212-764-0008