Provider Demographics
NPI:1700801339
Name:DOCTORS ON SIGHT, OPTOMETRISTS, INC.
Entity Type:Organization
Organization Name:DOCTORS ON SIGHT, OPTOMETRISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHWARTZBERG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:301-843-1000
Mailing Address - Street 1:2955 CRAIN HIGHWAY
Mailing Address - Street 2:SUITE A&B
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601
Mailing Address - Country:US
Mailing Address - Phone:301-843-1000
Mailing Address - Fax:301-843-1919
Practice Address - Street 1:2955 CRAIN HIGHWAY
Practice Address - Street 2:SUITE A&B
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601
Practice Address - Country:US
Practice Address - Phone:301-843-1000
Practice Address - Fax:301-843-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG00222Medicare PIN
0347220001Medicare NSC
MD747LMedicare PIN