# LENORE'S OPTICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205054103
- **Authorized official:** TAMMY L JOHNSON (OPTICIAN)
- **Authorized official phone:** (360) 425-4647

## Contact information

- **Practice address:** 1339 COMMERCE AVE, SUITE 101, LONGVIEW, WA 98632-3738
- **Practice address phone:** (360) 425-4647
- **Practice address fax:** (360) 578-2496
- **Mailing address:** 1339 COMMERCE AVE, SUITE 101, LONGVIEW, WA 98632-3738
- **Mailing address phone:** (360) 425-4647
- **Mailing address fax:** (360) 578-2496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | DO1822 | WA | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2026979 | — | WA |
| 01 | — | 212744 | EYEMED | — |
| 01 | — | LO22314 | SPECTERA | — |
| 01 | — | WA1099 | NBN | — |