Provider Demographics
NPI:1477589836
Name:THE SIGHT CENTER OF NORTHWEST PENNSYLVANIA
Entity Type:Organization
Organization Name:THE SIGHT CENTER OF NORTHWEST PENNSYLVANIA
Other - Org Name:THE SIGHT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:CASTLEDINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-455-0995
Mailing Address - Street 1:2545 W. 26TH ST.
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506
Mailing Address - Country:US
Mailing Address - Phone:814-455-0995
Mailing Address - Fax:814-455-0997
Practice Address - Street 1:2545 W. 26TH ST.
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506
Practice Address - Country:US
Practice Address - Phone:814-455-0995
Practice Address - Fax:814-455-0997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2019-12-12
Deactivation Date:2015-07-14
Deactivation Code:
Reactivation Date:2015-07-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow VisionGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA064171Medicare PIN