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NPI Code Detail

MEDICARE: SIGHTRITE MEDICAL MD LLC

MEDICARE: SIGHTRITE MEDICAL MD 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
1152W00000XOptometrist

General Provider Information

NPI Number : 1578377974
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIGHTRITE MEDICAL MD LLC
Provider Business Mailing Address
First Line : PO BOX 110535
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-0535
Country : US
Telephone Number : 718-633-2455
Fax Number :
Provider Business Practice Location Address
First Line : 3210 POWDER MILL RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-1029
Country : US
Telephone Number : 212-764-0008
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JACOB FINESTONE
Credential :
Telephone Number : 718-633-2455
Provider Enumeration Date : 02/05/2025
Last Update Date : 02/05/2025

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Directions to “SIGHTRITE MEDICAL MD LLC ” Practice Location

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