| NPI | 1124595368 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2018-10-25 |
| Last Updated | 2023-07-19 |
| Authorized Official | Jessika Benjamin CEO Phone: 9097883433 |
| Mailing Address | 5544 Soriano Way Fontana, CA 92336-5955 United States Phone: (909) 519-7155 📍 View Map |
| Primary Practice Address | 471 N Central Ave Upland, CA 91786-4219 United States Phone: (909) 788-3433 | Fax: (099) 129-8096 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | — | — |
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About NPI 1124595368
Lucent Optometry Montclair Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124595368. The primary specialty listed is Optometrist. The organization is located in Upland, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-10-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124595368?
NPI 1124595368 belongs to Lucent Optometry Montclair Inc, a Optometrist in Upland, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124595368 active?
The current status of NPI 1124595368 in the NPPES registry is Active. The record was last updated on 2023-07-19.
What specialty is NPI 1124595368?
NPI 1124595368 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124595368?
You can verify NPI 1124595368 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124595368?
The primary practice address on file for NPI 1124595368 is 471 N Central Ave, Upland, CA 91786-4219. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124595368 issued?
NPI 1124595368 was first issued (enumerated) on 2018-10-25. The NPPES record was last updated on 2023-07-19.
Practice Location Map
Lucent Optometry Montclair Inc is located at 471 N Central Ave, Upland, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lucent Optometry Montclair Inc. All records sourced from the CMS NPPES registry.