Provider Demographics
NPI:1306927082
Name:LENS DOCTORS
Entity type:Organization
Organization Name:LENS DOCTORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:K
Authorized Official - Last Name:MOCKLIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:603-427-6600
Mailing Address - Street 1:605 LAFAYETTE RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5406
Mailing Address - Country:US
Mailing Address - Phone:603-427-6600
Mailing Address - Fax:603-427-6670
Practice Address - Street 1:605 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5406
Practice Address - Country:US
Practice Address - Phone:603-427-6600
Practice Address - Fax:603-427-6670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH637152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE6184Medicare PIN