Provider Demographics
NPI:1588225486
Name:SIGHT ON SITE MOBILE EYE CARE, LLC
Entity Type:Organization
Organization Name:SIGHT ON SITE MOBILE EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:520-251-3688
Mailing Address - Street 1:2040 S. ALMA SCHOOL RD. SUITE #1
Mailing Address - Street 2:BOX 394
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286
Mailing Address - Country:US
Mailing Address - Phone:636-048-0331
Mailing Address - Fax:
Practice Address - Street 1:950 E PECOS RD STE B5
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2401
Practice Address - Country:US
Practice Address - Phone:636-048-0331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-23
Last Update Date:2019-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty