Provider Demographics
NPI:1316226715
Name:ON SIGHT OPTICAL
Entity Type:Organization
Organization Name:ON SIGHT OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ALEFANTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-662-5273
Mailing Address - Street 1:300 BRICKSTONE SQ
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1492
Mailing Address - Country:US
Mailing Address - Phone:978-662-5273
Mailing Address - Fax:888-908-3211
Practice Address - Street 1:300 BRICKSTONE SQ
Practice Address - Street 2:SUITE 201
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-1492
Practice Address - Country:US
Practice Address - Phone:978-662-5273
Practice Address - Fax:888-908-3211
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRANULAR LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6095156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty