Healthcare Provider Details

I. General information

NPI: 1053494245
Provider Name (Legal Business Name): THE CENTER FOR SIGHT, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MEDICAL CENTER BLVD
LUFKIN TX
75904-3173
US

IV. Provider business mailing address

2 MEDICAL CENTER BLVD
LUFKIN TX
75904-3173
US

V. Phone/Fax

Practice location:
  • Phone: 936-634-8434
  • Fax: 936-639-2581
Mailing address:
  • Phone: 936-634-8434
  • Fax: 936-639-2581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. RICHARD J RUCKMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 936-634-8434