Active NPI
Lenore's Optical
- Optician
- Longview, WA
National Provider Identifier
1205054103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO1822
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy L Johnson
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA1099 | Other | NBN | |
| 2026979 | Medicaid | WA | |
| 212744 | Other | EYEMED | |
| LO22314 | Other | SPECTERA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optician
- Longview, WA
- NPI 1326180076
-
- Optometrist
- Morton, WA
- NPI 1265433510
-
- Optometrist
- Longview, WA
- NPI 1740225077
-
- Optometrist
- Portland, OR
- NPI 1417071861
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.