Organization Active NPI

Lenore's Optical

  • Optician
  • Longview, WA
National Provider Identifier
1205054103
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO1822 Issued in WA
Legal business name
LENORE'S OPTICAL
Practice address
1339 Commerce Ave
Suite 101
Longview, WA 98632-3738
Phone
(360) 425-4647
Fax
(360) 578-2496
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tammy L JohnsonNPI 1326180076
Title
Optician
Phone
(360) 425-4647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO1822 WA Primary

Addresses

Primary practice location

1339 Commerce Ave
Suite 101
Longview, WA 98632-3738

Mailing address

1339 Commerce Ave
Suite 101
Longview, WA 98632-3738
Phone (360) 425-4647

Other identifiers 4

IdentifierTypeStateIssuer
WA1099OtherNBN
2026979MedicaidWA
212744OtherEYEMED
LO22314OtherSPECTERA

National Provider Directory

National Provider Directory

Locations

1339 Commerce Ave
Ste 101
Longview, WA 98632
Phone (360) 425-4647

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205054103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 COMMERCE AVE",
            "address_2": "SUITE 101",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323738",
            "telephone_number": "360-425-4647",
            "fax_number": "360-578-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 COMMERCE AVE",
            "address_2": "SUITE 101",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323738",
            "telephone_number": "360-425-4647",
            "fax_number": "360-578-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENORE'S OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "360-425-4647"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "DO1822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBN",
            "identifier": "WA1099",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026979",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "212744",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "LO22314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.