Provider Demographics
NPI:1184650731
Name:SIGHTS MY LINE, INC
Entity Type:Organization
Organization Name:SIGHTS MY LINE, INC
Other - Org Name:EYEAR OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEWART
Authorized Official - Middle Name:
Authorized Official - Last Name:LANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-618-0866
Mailing Address - Street 1:1804 S 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-5402
Mailing Address - Country:US
Mailing Address - Phone:956-687-2875
Mailing Address - Fax:956-687-3128
Practice Address - Street 1:1804 S 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-5402
Practice Address - Country:US
Practice Address - Phone:956-687-2875
Practice Address - Fax:956-687-3128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153679903Medicaid