Active NPI
Lenstek LTD. T/a Pearle Vision
- Exclusive Provider Organization
- California, MD
National Provider Identifier
1528224052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Legal business name
- LENSTEK LTD. T/A PEARLE VISION
- Doing business as
- Lenstek Ltd. T/A Pearle Vision
- Practice address
- 23191 Three Notch Rd
California, MD 20619-6024 - Phone
- (301) 863-6080
- NPI assigned
- Aug 4, 2008
- Last updated
- Jul 21, 2022
- 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
- Mrs. Evalena W. Gray, OPTICIAN
- Title
- Owner
- Phone
- (240) 298-0099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | MD | Primary |
Addresses
Primary practice location
23191 Three Notch Rd
California, MD 20619-6024
Mailing address
PO Box 278
14455 Oaks Road
Charlotte Hall, MD 20622-0278
Phone (301) 884-2391
Other names 1
- Lenstek Ltd. T/A Pearle Vision
National Provider Directory
National Provider Directory- Tax ID family
- Lenstek LTD Ta Pearle Vision
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Exclusive Provider Organization
- Waldorf, MD
- NPI 1366698326
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- California, MD
- NPI 1851458491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1528224052",
"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": "23191 THREE NOTCH RD",
"city": "CALIFORNIA",
"state": "MD",
"postal_code": "206196024",
"telephone_number": "301-863-6080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENSTEK LTD. T/A PEARLE VISION",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-04",
"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"
}
]
}
Other providers in California, MD
Sources for this page
- 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.