Prescription Lens, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

25089 Issued in AR

Legal business name

PRESCRIPTION LENS, INC.

Practice address

320 S Church St
Jonesboro, AR 72401-2912

Phone

(870) 972-1818

Fax

(870) 972-0356

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rusty Acebo, ABOC

Title

Vice President

Phone

(870) 972-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LensMasters Other name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326242710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S CHURCH ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012912",
            "telephone_number": "870-972-1818",
            "fax_number": "870-972-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S CHURCH ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012912",
            "telephone_number": "870-972-1818",
            "fax_number": "870-972-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION LENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACEBO",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "870-972-1818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AR",
            "license": "25089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS BLUE SHIELD",
            "identifier": "48181",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LensMasters",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela Powers
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• Emmett A Presley, LCSW, DCSW, MSWAC
• Sarah L Presley, LPN
• Lisa Marie Pressnell, MSN-APN
• Graceon Prestidge
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• Eyewear Supplier in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Eyewear Supplier in Arkansas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.