Provider Demographics
NPI:1073908554
Name:FAR SIGHT GROUP INC
Entity Type:Organization
Organization Name:FAR SIGHT GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAMLET
Authorized Official - Middle Name:
Authorized Official - Last Name:MINASVAND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:818-439-2021
Mailing Address - Street 1:2035 RANGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1171
Mailing Address - Country:US
Mailing Address - Phone:818-439-2024
Mailing Address - Fax:
Practice Address - Street 1:2035 RANGEVIEW DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1171
Practice Address - Country:US
Practice Address - Phone:818-439-2024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 11567 TPL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty