Provider Demographics
NPI:1346230554
Name:THE CENTER FOR SIGHT, P.C.
Entity Type:Organization
Organization Name:THE CENTER FOR SIGHT, P.C.
Other - Org Name:THE CENTER FOR SIGHT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATRIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-787-0364
Mailing Address - Street 1:1015 LAURENCE AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-2964
Mailing Address - Country:US
Mailing Address - Phone:517-787-0364
Mailing Address - Fax:517-787-2272
Practice Address - Street 1:1015 LAURENCE AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-2964
Practice Address - Country:US
Practice Address - Phone:517-787-0364
Practice Address - Fax:517-787-2272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003044152W00000X
MI49010043006152W00000X
MIAW028076174400000X
MIMP404850174400000X
MIMC057919174400000X
MI4301085940174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0C84729004Medicare ID - Type Unspecified
MI0C84729003Medicare ID - Type Unspecified
MI3913940001Medicare NSC
MI3913940002Medicare NSC
MI0N16630Medicare ID - Type Unspecified
MI0C84729006Medicare PIN
MI0C84729005Medicare ID - Type Unspecified
MI0C84729Medicare PIN
MI0C84729001Medicare ID - Type Unspecified