NPI 1366698326

Lenstek LTD. T/A Pearle Vision

Organisation Exclusive Provider Organization Waldorf, MD

Practice location

Address: 3005 Leonardtown Rd, Waldorf, MD 20601-3136
Phone: (301) 645-6550
Mailing address: PO Box 278 14455 Oaks Road, Charlotte Hall, MD 20622-0278

Authorised official

Name: Evalena W. Gray
Title: Owner
Phone: (240) 298-0099

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Maryland →

Registry record

NPI: 1366698326
Entity type: Organization
NPI issued: 11 Aug 2008
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.