Provider Demographics
NPI:1548548266
Name:US LENS INC
Entity type:Organization
Organization Name:US LENS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:AMAR
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:240-765-7051
Mailing Address - Street 1:115 CORAL REEF TER
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2977
Mailing Address - Country:US
Mailing Address - Phone:240-765-7051
Mailing Address - Fax:
Practice Address - Street 1:115 CORAL REEF TER
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-2977
Practice Address - Country:US
Practice Address - Phone:240-765-7051
Practice Address - Fax:410-872-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15464841332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD6560280001Medicare PIN