MEDICARE: LEXINGTON OPTICAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	0101033957	VA

General Provider Information

NPI Number	:	1801950605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEXINGTON OPTICAL INC

Provider Business Mailing Address
First Line	:	62 HILL TOP LN
Second Line	:
City	:	LEXINGTON
State	:	VA
Zip	:	24450-5726
Country	:	US
Telephone Number	:	540-463-3255
Fax Number	:	540-463-4140

Provider Business Practice Location Address
First Line	:	62 HILL TOP LN
Second Line	:
City	:	LEXINGTON
State	:	VA
Zip	:	24450-5726
Country	:	US
Telephone Number	:	540-463-3255
Fax Number	:	540-463-4140

Authorized Official
Title or Position	:	OWNER
Name	:	LEWIS J SINGER
Credential	:	MD
Telephone Number	:	540-463-3255

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	12/10/2007

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Directions to “LEXINGTON OPTICAL INC ” Practice Location

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