Provider Demographics
NPI:1336626001
Name:LENS IN STYLE, LLC
Entity type:Organization
Organization Name:LENS IN STYLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:MERARY
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-644-4161
Mailing Address - Street 1:URB RIVER GARDEN
Mailing Address - Street 2:195 CALLE FLOR DE DIEGO
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-3358
Mailing Address - Country:US
Mailing Address - Phone:787-644-4161
Mailing Address - Fax:
Practice Address - Street 1:TRUJILLO ALTO PLAZA
Practice Address - Street 2:LOT 22
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-644-4161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR612152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty