Organization Active NPI

Lions Vision Center

  • Optician
  • Phoenix, AZ
National Provider Identifier
1770795775
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
966 Issued in AZ
Legal business name
LIONS VISION CENTER
Practice address
1016 N 32ND Street Suite 2
Phoenix, AZ 85326
Phone
(602) 267-7573
Fax
(602) 267-7595
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jeannette Francis Russell, OPTICAIN
Title
Executive Director
Phone
(602) 267-7573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 966 AZ Primary

Addresses

Primary practice location

1016 N 32ND Street Suite 2
Phoenix, AZ 85326

Mailing address

1016 N. 32ND Street Suite 2
Phoenix, AZ 85326
Phone (602) 267-7573

National Provider Directory

National Provider Directory
Tax ID family
Arizona Lions Vision Center Inc2 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.

Locations

1016 N 32nd St
Ste 2
Phoenix, AZ 85008
Phone (602) 267-7573

Practitioners & affiliated clinicians

Practitioners 1

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770795775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N. 32ND STREET SUITE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85326",
            "telephone_number": "602-267-7573",
            "fax_number": "602-267-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N 32ND STREET SUITE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85326",
            "telephone_number": "602-267-7573",
            "fax_number": "602-267-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIONS VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-267-7573",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICAIN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.