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Organization

LENORE'S OPTICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY L JOHNSON (OPTICIAN)
(360) 425-4647
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO1822
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2026979
WA
01
212744
EYEMED
01
LO22314
SPECTERA
01
WA1099
NBN
Enumeration date
04/23/2007
Last updated
08/22/2020
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