Provider Demographics
NPI:1336457431
Name:LENS CENTRAL OPTICAS
Entity Type:Organization
Organization Name:LENS CENTRAL OPTICAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:IGLESIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-335-9272
Mailing Address - Street 1:700 EXTERIOR ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-2042
Mailing Address - Country:US
Mailing Address - Phone:718-665-9230
Mailing Address - Fax:718-665-9232
Practice Address - Street 1:700 EXTERIOR ST FL 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-2042
Practice Address - Country:US
Practice Address - Phone:718-665-9230
Practice Address - Fax:718-665-9232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty