NPI 1699029967

2020 Lens Optical

Organisation Preferred Provider Organization Chino, CA

Practice location

Address: 12345 Mountain Ave Suite X, Chino, CA 91710-2783
Phone: (909) 628-4222
Fax: (909) 628-6555

Authorised official

Name: Marvin Romeo Martinez
Title: Optician
Phone: (562) 261-7542

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 37867 (CA)

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Registry record

NPI: 1699029967
Entity type: Organization
NPI issued: 7 Nov 2012
Record last updated: 7 Nov 2012

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.