| Organization Name: | ON-SIGHT OPTICAL, LLC |
| NPI Number: | 1053552661 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOWARD DANA JADOFSKY (PRESIDENT) |
| Mailing Address: | 102 Main St Stanardsville |
| State: | VA US |
| Postal Code: | 229732970 |
| Phone Number: | 4345315071 |
| Fax Number: | 4349900126 |
| NPI Enumeration Date: | 03/11/2009 |
| NPI Last Update Date: | 02/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 1101001285 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |