Lorenzo Family Optical, Inc

Organization Active NPI Eyewear Supplier · Kane, PA

NPI 1831216902 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1831216902
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
LORENZO FAMILY OPTICAL, INC
Practice address
59 Fraley St
Kane, PA 16735-7915
Phone
(814) 837-8890
Fax
(814) 837-7410
NPI assigned
Mar 23, 2007
Organization subpart
No

Authorized official

Name
Tamara E Lorenzo
Title
President
Phone
(814) 837-8890

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

59 N Fraley St
Kane, PA 16735
Phone (814) 837-8890

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

59 Fraley St
Kane, PA 16735-7915

Mailing address

59 Fraley St
Kane, PA 16735-7915
Phone (814) 837-8890

Other identifiers

IdentifierTypeStateIssuer
1013197030002MedicaidPA

Other providers in Kane, PA

All providers in Kane, PA · Eyewear Supplier in Pennsylvania

Sources for this page

Verify at the official NPI Registry.