Individual
RENA C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
S599TA190
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
925493
BLOCK VISION
AL
01
—
U34042
HEALTHSPRING OF AL
AL
Enumeration date
08/11/2006
Last updated
02/13/2008
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