Healthcare Provider Details

I. General information

NPI: 1780211961
Provider Name (Legal Business Name): ESIGHT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EGLINTON AVENUE SUITE 401
TORONTO ONTARIO
M4P 3A1
CA

IV. Provider business mailing address

1804 MORGAN FARMS WAY
BRENTWOOD TN
37027-1422
US

V. Phone/Fax

Practice location:
  • Phone: 855-837-4448
  • Fax:
Mailing address:
  • Phone: 972-352-0480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN MCCOLLUM
Title or Position: CHIEF COMMERCIAL OFFICER
Credential:
Phone: 972-352-0480