Healthcare Provider Details

I. General information

NPI: 1396824355
Provider Name (Legal Business Name): THE CENTER FOR SIGHT, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TWO MEDICAL CENTER BLVD
LUFKIN TX
75904-3173
US

IV. Provider business mailing address

TWO 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 TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL JAY KRAVITZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 936-634-8434