Organization
FIRSTSIGHT VISION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT K PATTON (PRESIDENT AND CEO)
(909) 920-5008
Entity
Organization
Contact information
Practice address
1202 MONTE VISTA AVE, SUITE 17, UPLAND, CA 91786-8208
(909) 920-5008
(909) 932-0062
Mailing address
1202 MONTE VISTA AVE, SUITE 17, UPLAND, CA 91786-8208
(909) 920-5008
(909) 932-0062
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
933342
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
933342
DMHC PLAN NUMBER
CA
Enumeration date
04/19/2007
Last updated
08/22/2020
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