Organization Active NPI

Lesco Optical

  • Optician
  • Tucson, AZ
National Provider Identifier
1356674873
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
2033I Issued in AZ
Legal business name
LESCO OPTICAL
Practice address
4444 E Grant Rd
Suite 118
Tucson, AZ 85712-2696
Phone
(520) 323-6513
Fax
(520) 323-9141
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Mr. Sergio Alberto Guayante, L.D.O.
Title
Vice President
Phone
(520) 323-6513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 2033I AZ Primary

Addresses

Primary practice location

4444 E Grant Rd
Suite 118
Tucson, AZ 85712-2696

Mailing address

4444 E Grant Rd
Suite 118
Tucson, AZ 85712-2696
Phone (520) 323-6513

National Provider Directory

National Provider Directory

Locations

4444 E Grant Rd
Ste 118
Tucson, AZ 85712
Phone (520) 323-6513

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1356674873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 E GRANT RD",
            "address_2": "SUITE 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122696",
            "telephone_number": "520-323-6513",
            "fax_number": "520-323-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 E GRANT RD",
            "address_2": "SUITE 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122696",
            "telephone_number": "520-323-6513",
            "fax_number": "520-323-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESCO OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "GUAYANTE",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "520-323-6513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "2033I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.