Active NPI
Lions Services, Inc.
- Eyewear Supplier
- Charlotte, NC
National Provider Identifier
1235259516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- X-0736
- Legal business name
- LIONS SERVICES, INC.
- Practice address
- 4600 N Tryon St Ste a
Charlotte, NC 28213-7058 - Phone
- (704) 599-4760
- Fax
- (704) 921-5758
- NPI assigned
- Mar 30, 2007
- 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
- Mr. Jim R. Cranford
- Title
- Executive Director
- Phone
- (704) 921-1527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | X-0736 | NC | Primary |
Addresses
Primary practice location
4600 N Tryon St Ste a
Charlotte, NC 28213-7058
Mailing address
4600 N Tryon St Ste a
Charlotte, NC 28213-7058
Phone (704) 599-4760
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01733 | Other | NC | NC HEALTH CHOICE |
| 8801960 | Medicaid | NC | |
| 890206L | Medicaid | NC |
Other names 1
- Lions Services Eye Clinic
National Provider Directory
National Provider DirectoryLocations
4600 N Tryon St
Ste A
Charlotte, NC 28213
Phone (704) 599-4760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240444800000",
"number": "1235259516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 N TRYON ST STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282137058",
"telephone_number": "704-599-4760",
"fax_number": "704-921-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 N TRYON ST STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282137058",
"telephone_number": "704-599-4760",
"fax_number": "704-921-5758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIONS SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2009-04-23",
"status": "A",
"authorized_official_last_name": "CRANFORD",
"authorized_official_first_name": "JIM",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-921-1527",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NC",
"license": "X-0736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC HEALTH CHOICE",
"identifier": "01733",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8801960",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890206L",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lions Services Eye Clinic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.