Healthcare Provider Details

I. General information

NPI: 1457265803
Provider Name (Legal Business Name): JAMES T. LENTZ, OCD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 NE 84TH ST
VANCOUVER WA
98665-2016
US

IV. Provider business mailing address

6720 NE 84TH ST
VANCOUVER WA
98665-2016
US

V. Phone/Fax

Practice location:
  • Phone: 360-828-2265
  • Fax: 360-828-2291
Mailing address:
  • Phone: 360-828-2265
  • Fax: 360-828-2291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JAMES THOMAS LENTZ
Title or Position: OPTOMETRIST/OWNER360
Credential: OD
Phone: 360-609-4679