Lenstek LTD. T/a Pearle Vision

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

LENSTEK LTD. T/A PEARLE VISION

Doing business as

Lenstek Ltd. T/A Pearle Vision

Practice address

3005 Leonardtown Rd
Waldorf, MD 20601-3136

Phone

(301) 645-6550

NPI assigned

Aug 11, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Evalena W. Gray, OPTICIAN

Title

Owner

Phone

(240) 298-0099

Specialties & licenses 1

Addresses

Other names 1

• Lenstek Ltd. T/A Pearle Vision Doing business as

Tax ID family

Lenstek LTD Ta Pearle Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lenstek LTD. T/a Pearle Vision

  • Exclusive Provider Organization
  • California, MD
  • NPI 1528224052
  NPD tax ID

Locations

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366698326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "address_2": "14455 OAKS ROAD",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206220278",
            "telephone_number": "301-884-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 LEONARDTOWN RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013136",
            "telephone_number": "301-645-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENSTEK LTD. T/A PEARLE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "EVALENA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-298-0099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenstek Ltd. T/A Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Exclusive Provider Organization in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Exclusive Provider Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.