Organization Active NPI

Lenz Optical Company Inc

  • Eyewear Supplier
  • Louisville, KY
National Provider Identifier
1073784930
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
376 Issued in KY
Legal business name
LENZ OPTICAL COMPANY INC
Practice address
4012 Dupont Cir
Louisville, KY 40207-4813
Phone
(502) 897-0856
Fax
(502) 897-6519
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lois Lenz
Title
Manager
Phone
(502) 897-0856

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 376 KY Primary
Hearing Aid Equipment 332S00000X 120 KY
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

4012 Dupont Cir
Louisville, KY 40207-4813

Mailing address

4012 Dupont Cir
Louisville, KY 40207-4813
Phone (502) 897-0856

Other identifiers 3

IdentifierTypeStateIssuer
5280024000MedicaidKY
9084056200MedicaidKY
5290036200MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1073784930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 DUPONT CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074813",
            "telephone_number": "502-897-0856",
            "fax_number": "502-897-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 DUPONT CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074813",
            "telephone_number": "502-897-0856",
            "fax_number": "502-897-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENZ OPTICAL COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-897-0856"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": "376",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "KY",
            "license": "120",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5280024000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9084056200",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5290036200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.