2020 Lens Optical

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

37867 Issued in CA

Legal business name

2020 LENS OPTICAL

Practice address

12345 Mountain Ave
Suite X
Chino, CA 91710-2783

Phone

(909) 628-4222

Fax

(909) 628-6555

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Romeo Martinez, OPTICIAN

Title

Optician

Phone

(562) 261-7542

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1699029967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 MOUNTAIN AVE",
            "address_2": "SUITE X",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102783",
            "telephone_number": "909-628-4222",
            "fax_number": "909-628-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 MOUNTAIN AVE",
            "address_2": "SUITE X",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102783",
            "telephone_number": "909-628-4222",
            "fax_number": "909-628-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2020 LENS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "ROMEO",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "562-261-7542",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "37867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Chino, CA
• Providers in Chino, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.