Provider Demographics
NPI:1396856381
Name:LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED
Entity type:Organization
Organization Name:LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GIOVINAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-694-7346
Mailing Address - Street 1:1155 MARKET ST FL 10
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1540
Mailing Address - Country:US
Mailing Address - Phone:415-431-1481
Mailing Address - Fax:
Practice Address - Street 1:1155 MARKET ST FL 10
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1540
Practice Address - Country:US
Practice Address - Phone:415-431-1481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Single Specialty