Provider Demographics
NPI:1699075093
Name:SIGHTWORK DOCTORS OF OPTOMETRY PA
Entity type:Organization
Organization Name:SIGHTWORK DOCTORS OF OPTOMETRY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-822-9920
Mailing Address - Street 1:7547 WATERSIDE LOOP RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-7678
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7547 WATERSIDE LOOP RD
Practice Address - Street 2:SUITE C
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-7677
Practice Address - Country:US
Practice Address - Phone:704-822-9920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1851152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty