Provider Demographics
NPI:1538313291
Name:LENS-TECH, INC.
Entity Type:Organization
Organization Name:LENS-TECH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY OF CORPORATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:RUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-375-5250
Mailing Address - Street 1:41 S FRANKLIN ST
Mailing Address - Street 2:P. O. BOX 426
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1801
Mailing Address - Country:US
Mailing Address - Phone:814-375-5250
Mailing Address - Fax:814-375-5524
Practice Address - Street 1:41 S FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-1801
Practice Address - Country:US
Practice Address - Phone:814-375-5250
Practice Address - Fax:814-375-5524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000003210332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier