Provider Demographics
NPI:1760133698
Name:BRIGHT SIGHT OPTOMETRY PLLC
Entity Type:Organization
Organization Name:BRIGHT SIGHT OPTOMETRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:TRINITY
Authorized Official - Middle Name:T
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-837-9834
Mailing Address - Street 1:3598 E FELIX BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85706-1962
Mailing Address - Country:US
Mailing Address - Phone:714-837-9834
Mailing Address - Fax:
Practice Address - Street 1:18680 S NOGALES HWY
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-5284
Practice Address - Country:US
Practice Address - Phone:520-625-7949
Practice Address - Fax:520-625-7951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1457984056OtherOPTOMETRY