Healthcare Provider Details

I. General information

NPI: 1306141999
Provider Name (Legal Business Name): LENS LAB EXPRESS OF JAMAICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2011
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16334 JAMAICA AVE
JAMAICA NY
11432-4912
US

IV. Provider business mailing address

16334 JAMAICA AVE
JAMAICA NY
11432
US

V. Phone/Fax

Practice location:
  • Phone: 718-526-2332
  • Fax: 718-297-3349
Mailing address:
  • Phone: 718-526-2332
  • Fax: 718-297-3349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: ROSANA MCDOWELL
Title or Position: OWNER
Credential:
Phone: 718-526-2332