Provider Demographics
NPI:1013344969
Name:FOUR SIGHT
Entity Type:Organization
Organization Name:FOUR SIGHT
Other - Org Name:COLUMBIA OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRINKAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-381-1688
Mailing Address - Street 1:10015 OLD COLUMBIA RD STE J135
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1741
Mailing Address - Country:US
Mailing Address - Phone:410-381-1688
Mailing Address - Fax:410-381-3855
Practice Address - Street 1:10015 OLD COLUMBIA RD STE J135
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1741
Practice Address - Country:US
Practice Address - Phone:410-381-1688
Practice Address - Fax:410-381-3855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-07
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier