| NPI | 1497707780 |
|---|---|
| Former Legal Business Name | THE LENS SOURCE |
| Entity Type | Organization |
| Authorized Contact | EDWIN F ADAMS Optometrist/Owner/CEO 225-755-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA LA773206T) |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WC0802X Optometrist, Corneal and Contact Management | |
| 152WS0006X Optometrist, Sports Vision | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-07-09 |