Basic Information
| Provider Information | |||||||||
| NPI: | 1558352013 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CENTER FOR SIGHT, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1565 N MAIN ST | ||||||||
| Address2: | STE 406 | ||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027202972 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086770041 | ||||||||
| FaxNumber: | 5086770975 | ||||||||
| Practice Location | |||||||||
| Address1: | 1565 N MAIN ST | ||||||||
| Address2: | STE 406 | ||||||||
| City: | FALL RIVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027202972 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5086770041 | ||||||||
| FaxNumber: | 5086770975 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2005 | ||||||||
| LastUpdateDate: | 04/24/2021 | ||||||||
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| AuthorizedOfficialLastName: | CAPRIO | ||||||||
| AuthorizedOfficialFirstName: | JAYNE | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRACTICE ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 5086771921 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 04/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist | 332H00000X | MA | N | Suppliers | Eyewear Supplier (Equipment, not the service) | 207W00000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
ID Information
| ID | Type | State | Issuer | Description | 9708375 | 05 | MA | MEDICAID |