1629266713 NPI number — J J LEE OPTICAL LLC

Table of content: (NPI 1629266713)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629266713 NPI number — J J LEE OPTICAL LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
J J LEE OPTICAL LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
J J LEE OPTICAL LLC.
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629266713
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2317 S RANGE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENHAM SPRINGS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70726-5217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-664-5000
Provider Business Mailing Address Fax Number:
225-664-5998

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2317 S RANGE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENHAM SPRINGS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70726-5217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-664-5000
Provider Business Practice Location Address Fax Number:
225-664-5998
Provider Enumeration Date:
10/15/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BUCKHALTER
Authorized Official First Name:
DENISE
Authorized Official Middle Name:
T.
Authorized Official Title or Position:
CO OWNER/BOOK KEEPER
Authorized Official Telephone Number:
225-664-5000

Provider Taxonomy Codes

  • Taxonomy code: 332900000X , with the licence number:  2146850001 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1473031 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".