LENORE'S OPTICAL (NPI# 1205054103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205054103 |
Entity Type | Organization |
Organization Name | LENORE'S OPTICAL |
Practice Address |
1339 Commerce Ave Suite 101 Longview WA 98632-3738 |
Practice Telephone | 3604254647 |
Practice Fax Number | 3605782496 |
Mailing Telephone | 3604254647 |
Mailing Fax Number | 3605782496 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | TAMMY L JOHNSON (OPTICIAN) |
Authorized Official Telephone | 3604254647 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DO1822 | WA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2026979 | 05 | |
EYEMED | 212744 | 01 | |
SPECTERA | LO22314 | 01 | |
NBN | WA1099 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | LENORE'S OPTICAL, P.S. | 1339 Commerce Ave Ste 101, Longview, WA 98632 |
Street Address |
1339 COMMERCE AVE SUITE 101 |
City | LONGVIEW |
State | WA |
Zip Code | 98632-3738 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265416820 | Pamela Elin Kurthy | Psychologist | 1339 Commerce Ave, Ste 310d, Longview, WA 98632-3738 | 2005-12-06 |
1285246033 | Rochalle Irene James | Specialist | 1339 Commerce Ave, Longview, WA 98632-3738 | 2020-08-21 |
1811241078 | Lynn A Durkin | Registered Nurse | 1339 Commerce Ave, Suite 315b, Longview, WA 98632-3738 | 2012-11-08 |
1609168889 | Licensed2listen | Community/Behavioral Health | 1339 Commerce Ave, Suite 305, Longview, WA 98632-5347 | 2011-05-06 |
1508035510 | Jennifer Lynn Farland | Point of Service | 1339 Commerce Ave, Suite 302, Longview, WA 98632-3738 | 2008-02-23 |
1487785788 | Carrie Jean Vigoren | Specialist | 1339 Commerce Ave, Suite 202, Longview, WA 98632-3738 | 2007-03-08 |
1801921531 | Leslie Kay Wolff | Occupational Therapist | 1339 Commerce Ave, Suite 314, Longview, WA 98632-3738 | 2007-02-22 |
1275675282 | Sarah Jayne Getman | Counselor | 1339 Commerce Ave, Suite 310a, Longview, WA 98632-3738 | 2007-02-13 |
1326180076 | Tammy L Johnson | Technician/Technologist | 1339 Commerce Ave, Suite 101, Longview, WA 98632-3738 | 2007-02-12 |
1083778377 | Thomas Dean Manges | Optometrist | 1339 Commerce Ave, Suite 101, Longview, WA 98632-3738 | 2006-12-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
Find all providers in zip 98632 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1891243762 | National Vision, Inc. | Technician/Technologist | 1711 W Loop 281, Longview, TX 75604-2734 | 2016-09-20 |
1063791721 | Sams East Inc | Technician/Technologist | 3310 N 4th St, Longview, TX 75605-7954 | 2011-08-12 |
1962714956 | National Vision, Inc. | Technician/Technologist | 3098 N Eastman Rd Ste 100, Longview, TX 75605-5176 | 2010-07-08 |
1578651048 | Melvin Clyde Merrell | Technician/Technologist | 1230 Seventh Ave., Longview, WA 98632 | 2006-10-10 |
1649575291 | Charles L. Heaton, Md, Pa | Technician/Technologist | 1205 N 6th St, Longview, TX 75601-5539 | 2011-01-12 |
1528199882 | Wal-mart Stores Texas, LLC | Technician/Technologist | 4006 Estes Pkwy, Longview, TX 75603-1712 | 2007-03-08 |
1326180076 | Tammy L Johnson | Technician/Technologist | 1339 Commerce Ave, Suite 101, Longview, WA 98632-3738 | 2007-02-12 |
1154404739 | Wal-mart Stores Texas, Lp | Technician/Technologist | 515 E Loop 281, Longview, TX 75605-5001 | 2006-10-24 |
1205917648 | Wa-mart Stores Texas, Lp | Technician/Technologist | 2440 Gilmer Rd, Longview, TX 75604-2134 | 2006-10-18 |
1376633370 | Wal-mart Stores, Inc | Technician/Technologist | 540 7th Ave, Longview, WA 98632 | 2006-10-13 |
Find all providers in LONGVIEW |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.