Individual provider Active NPI

Tyler James Lesko, OD

  • Optometrist
  • Wall Township, NJ
National Provider Identifier
1003548538
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00713400 Issued in NJ
Practice address
1722 New Bedford Rd Ste 1
Wall Township, NJ 07719-3870
Phone
(732) 974-1400
Fax
(732) 974-2121
NPI assigned
Jun 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OM0017990 NJ
Optometrist 152W00000X 27OA00713400 NJ Primary

Addresses

Primary practice location

1722 New Bedford Rd Ste 1
Wall Township, NJ 07719-3870

Mailing address

1722 New Bedford Rd Ste 1
Wall Township, NJ 07719-3870
Phone (732) 531-6300

Other practice location 1

780 W Park Ave Ste 3
Oakhurst, NJ 07755-1035
Phone (732) 531-6300

Other practice location 2

90 Atlantic City Blvd
Pine Beach, NJ 08741-1545
Phone (732) 531-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223001832 NJ Practitioner - Optometry 3870026743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monmouth County Primary Eye Care LLCGroup PAC ID 9234662107, 5 clinicians

Practice addresses (Care Compare)

1722 New Bedford Rd
Suite 1
Wall Township, NJ 07719-3870
Phone (732) 531-6300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00713400NJMDOptometrist
27OM0017990NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth County Primary Eye Care LLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Ravine Eye Center Inc Optometrist PastSince Oct 3, 2022 Accepting new patients
MRL Vision Associates Inc Optometrist PastSince Aug 1, 1998 Accepting new patients

Locations

780 W Park Ave
Ste 3
Oakhurst, NJ 07755
Phone (732) 531-6300

780 W Park Ave
Oakhurst, NJ 07755
Phone (732) 517-1090

90 Route 9
Pine Beach, NJ 08741
Phone (732) 531-6300

1722 New Bedford Rd
Ste 1
Wall Township, NJ 07719
Phone (732) 531-6300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1003548538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 NEW BEDFORD RD STE 1",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193870",
            "telephone_number": "732-531-6300",
            "fax_number": "732-531-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 NEW BEDFORD RD STE 1",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193870",
            "telephone_number": "732-974-1400",
            "fax_number": "732-974-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 W Park Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Oakhurst",
            "state": "NJ",
            "postal_code": "077551035",
            "country_code": "US",
            "telephone_number": "732-531-6300",
            "fax_number": "732-531-9149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Atlantic City Blvd",
            "address_purpose": "LOCATION",
            "city": "Pine Beach",
            "state": "NJ",
            "postal_code": "087411545",
            "country_code": "US",
            "telephone_number": "732-531-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESKO",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM0017990",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00713400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.