MEDICARE: ACUSIGHT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305S00000X	Point of Service	6317	OH

General Provider Information

NPI Number	:	1417357625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUSIGHT LLC

Provider Business Mailing Address
First Line	:	5320 E MAIN ST
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2573
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5320 E MAIN ST
Second Line	:	SUITE 100
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2573
Country	:	US
Telephone Number	:	937-638-0154
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. RACHEL SIEGEL
Credential	:	OD
Telephone Number	:	937-638-0154

Provider Enumeration Date	:	08/26/2014
Last Update Date	:	08/26/2014

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Directions to “ACUSIGHT LLC ” Practice Location

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