Provider Demographics
NPI:1114044427
Name:LENS & RIMS VISION CENTERS, INC
Entity type:Organization
Organization Name:LENS & RIMS VISION CENTERS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTCEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VIRGIL
Authorized Official - Middle Name:L
Authorized Official - Last Name:PERKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:727-522-7467
Mailing Address - Street 1:1115A 62ND AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-7421
Mailing Address - Country:US
Mailing Address - Phone:727-522-7467
Mailing Address - Fax:727-525-3275
Practice Address - Street 1:1115A 62ND AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-7421
Practice Address - Country:US
Practice Address - Phone:727-522-7467
Practice Address - Fax:727-525-3275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOE1591332H00000X
FLOE1587332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier