Organization Active NPI

Lean Visions LLC

  • Optometrist
  • Mansfield, TX
National Provider Identifier
1336485986
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009950 Issued in IL
Legal business name
LEAN VISIONS LLC
Practice address
1971 Highway 287 N
Mansfield, TX 76063-8982
Phone
(181) 745-3759
Fax
(888) 619-2009
NPI assigned
Dec 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2016

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

Authorized official

Name
Dr. Manoj Mathew Abraham
Title
Optometrist
Phone
(630) 452-6290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046009950 IL Primary

Addresses

Primary practice location

1971 Highway 287 N
Mansfield, TX 76063-8982

Mailing address

1505 Stone Dr
Carrollton, TX 75010-1147

Other identifiers 2

IdentifierTypeStateIssuer
3456061OtherTXTPI
448626OtherTXPTAN

Other names 1

  • EyeDrWorks Doing business as

National Provider Directory

National Provider Directory

Locations

7708 S Cicero Ave
Ste A5
Burbank, IL 60459
Phone (708) 346-0624

17W412 22nd St
Oakbrook Terrace, IL 60181
Phone (630) 530-2020

1971 Highway 287 N
Mansfield, TX 76063
Phone (682) 518-6496

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464393600000",
    "number": "1336485986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 STONE DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 HIGHWAY 287 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638982",
            "telephone_number": "181-745-3759",
            "fax_number": "888-619-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAN VISIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2016-05-28",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "630-452-6290",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "3456061",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "448626",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeDrWorks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; 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.