Healthcare Provider Details

I. General information

NPI: 1891158770
Provider Name (Legal Business Name): SIGHTRITE MEDICAL MI PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 03/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 BROADWAY
BROOKLYN NY
11211-6250
US

IV. Provider business mailing address

P.O.BOX 110535
BROOKLYN NY
11211-0535
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JACOB FINESTONE
Title or Position: MD
Credential:
Phone: 212-764-0008