Individual provider Active NPI

James Thomas Lentz, O.D.

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1902950835
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3535 Issued in WA
Practice address
6720 NE 84TH St
Vancouver, WA 98665-2016
Phone
(360) 828-2265
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3535 WA Primary

Addresses

Primary practice location

6720 NE 84TH St
Vancouver, WA 98665-2016

Mailing address

6720 NE 84TH St
Vancouver, WA 98665-2016
Phone (360) 828-2265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000276 WA Practitioner - Optometry 7810964822 Practice locations: Vancouver, WA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Berkeley Northeastern State University - College of Medicine, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6720 NE 84TH St
Vancouver, WA 98665-2016
Phone (360) 828-2265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3535WAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902950835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 NE 84TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986652016",
            "telephone_number": "360-828-2265",
            "fax_number": "360-828-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 NE 84TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986652016",
            "telephone_number": "360-828-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.