| Doctor Name: | THOMAS J LENZ |
| NPI Number: | 1093997843 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 3110 |
| Business Practice Address: | 1801 19th Ave Sw Willmar, MN - 562014946 |
| Business Phone Number: | 3202352020 |
| Business Fax Number: | 3202145761 |
| Mailing Address: | 1801 19th Ave Sw, WILLMAR |
| State: | MN |
| Postal Code: | 562014946 |
| Phone Number: | 3202352020 |
| Fax Number: | 3202145761 |
| NPI Enumeration Date: | 12/04/2007 |
| NPI Last Update Date: | 01/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WS0006X |
| License Number: | 3110 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Sports Vision |
| Taxonomy Definition: | An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement |