Organization Name: | IN SIGHT LOW VISION SERVICES LLC |
NPI Number: | 1205024908 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GINA MARIE TATE (SOLE MEMBER) |
Mailing Address: | 601 County Road 155 Eureka Springs |
State: | AR US |
Postal Code: | 726329229 |
Phone Number: | 4792446271 |
Fax Number: | 8662766904 |
NPI Enumeration Date: | 10/07/2007 |
NPI Last Update Date: | 10/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |