NPIMap

Organization Active NPI

L. Rand Enterprises Inc.

Doing business as Dr Leslie Rand Wilderson OD

  • Optometrist
  • Springfield, PA
National Provider Identifier
1023229275
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET008830 Issued in PA
Legal business name
L. RAND ENTERPRISES INC.
Doing business as
Dr Leslie Rand Wilderson OD
Practice address
1250 Baltimore Pike
Pearle Vision
Springfield, PA 19064-2706
Phone
(610) 544-1841
Fax
(610) 544-2984
NPI assigned
May 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Dr. Leslie Rand Wilderson, ODNPI 1578572442
Title
President
Phone
(610) 544-1841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OET008830 PA Primary

Addresses

Primary practice location

1250 Baltimore Pike
Pearle Vision
Springfield, PA 19064-2706

Mailing address

2300 Pine St
#7
Philadelphia, PA 19103-6438
Phone (215) 490-8090

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidPA

Other names 1

  • Dr Leslie Rand Wilderson OD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1023229275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PINE ST",
            "address_2": "#7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036438",
            "telephone_number": "215-490-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BALTIMORE PIKE",
            "address_2": "PEARLE VISION",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642706",
            "telephone_number": "610-544-1841",
            "fax_number": "610-544-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. RAND ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-26",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "WILDERSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "RAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-544-1841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET008830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Leslie Rand Wilderson OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.