Provider Demographics
NPI:1366613820
Name:LES LUNETTES OPTIQUE
Entity type:Organization
Organization Name:LES LUNETTES OPTIQUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:216-464-5367
Mailing Address - Street 1:2101 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1391
Mailing Address - Country:US
Mailing Address - Phone:216-464-5367
Mailing Address - Fax:216-464-7795
Practice Address - Street 1:2101 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1391
Practice Address - Country:US
Practice Address - Phone:216-464-5367
Practice Address - Fax:216-464-7795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier