Organization
PRESCRIPTION LENS, INC.
Active
Other names
LensMasters
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSTY ACEBO ABOC (VICE PRESIDENT)
(870) 972-1818
Entity
Organization
Contact information
Practice address
320 S CHURCH ST, JONESBORO, AR 72401-2912
(870) 972-1818
(870) 972-0356
Mailing address
320 S CHURCH ST, JONESBORO, AR 72401-2912
(870) 972-1818
(870) 972-0356
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
25089
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48181
AR BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/12/2007
Last updated
08/22/2020
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