Provider Demographics
NPI:1992857411
Name:LEWIS, JANET J (OPTICIAN)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:J
Last Name:LEWIS
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:J
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OPTICIAN
Mailing Address - Street 1:405 WARBURTON AVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-2842
Mailing Address - Country:US
Mailing Address - Phone:914-674-6490
Mailing Address - Fax:
Practice Address - Street 1:468 BROADWAY
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1126
Practice Address - Country:US
Practice Address - Phone:914-693-0035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0085521156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician