Provider Demographics
NPI:1023604741
Name:LENS FOR LESS
Entity type:Organization
Organization Name:LENS FOR LESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-603-2524
Mailing Address - Street 1:585 CALLE LODI
Mailing Address - Street 2:URB VILLA CAPRI
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3819
Mailing Address - Country:US
Mailing Address - Phone:787-603-2524
Mailing Address - Fax:787-731-5642
Practice Address - Street 1:585 CALLE LODI
Practice Address - Street 2:VILLAS CAPRI
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3819
Practice Address - Country:US
Practice Address - Phone:787-603-2524
Practice Address - Fax:787-731-5642
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIVIANNE MARIE BURNS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-16
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier