Provider Demographics
NPI:1568751618
Name:HEINZ SIGHT, LLC
Entity Type:Organization
Organization Name:HEINZ SIGHT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEINZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-201-0548
Mailing Address - Street 1:2650 32ND AVE S
Mailing Address - Street 2:SUITE F3
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6541
Mailing Address - Country:US
Mailing Address - Phone:701-746-4240
Mailing Address - Fax:701-775-5112
Practice Address - Street 1:2650 32ND AVE S
Practice Address - Street 2:SUITE F3
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6541
Practice Address - Country:US
Practice Address - Phone:701-746-4240
Practice Address - Fax:701-775-5112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier