Provider Demographics
NPI:1881329316
Name:4SIGHT EYEWEAR INC.
Entity type:Organization
Organization Name:4SIGHT EYEWEAR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:KENYON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:401-762-4473
Mailing Address - Street 1:385 MENDON ROAD
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-2477
Mailing Address - Country:US
Mailing Address - Phone:401-762-4473
Mailing Address - Fax:401-765-3261
Practice Address - Street 1:385 MENDON ROAD
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-2477
Practice Address - Country:US
Practice Address - Phone:401-762-4473
Practice Address - Fax:401-765-3261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty