Active NPI
Leslie A Draper, OD
- Optometrist
- Fort Lauderdale, FL
National Provider Identifier
1083713622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4017
- Practice address
- 2583 E Sunrise Blvd
Fort Lauderdale, FL 33304-3203 - Phone
- (954) 563-8288
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD2640 | TN | |
| Optometrist | 152W00000X | OPC4017 | FL | Primary |
Addresses
Primary practice location
2583 E Sunrise Blvd
Fort Lauderdale, FL 33304-3203
Mailing address
511 SE 5TH Ave Apt 819
Fort Lauderdale, FL 33301-2969
Phone (423) 883-2535
Other practice location 1
9711 W Oakland Park Blvd
Sunrise, FL 33351-7013
Phone (423) 883-2535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3590042 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
915 Middle River Dr
Suite 420
Fort Lauderdale, FL 33304-3561
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4017 | FL | MD | Optometrist |
| OD2640 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian a. Asalone, O.D., P.a. | Optometrist | Current | Accepting new patients |
| Nicholas Rashid OD PA | Optometrist | Current | Accepting new patients |
| Uptown Vision Center & Optical, LLC | Optometrist | Past | Accepting new patients |
Locations
2583 E Sunrise Blvd
Ft Lauderdale, FL 33304
Phone (954) 563-8288
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Optometrist
- Fort Lauderdale, FL
- NPI 1578887485
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- Optometrist
- Fort Lauderdale, FL
- NPI 1184743999
-
- Optometrist
- Ft Lauderdale, FL
- NPI 1083956387
-
- Optometrist
- Chattanooga, TN
- NPI 1235357542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1083713622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 SE 5TH AVE APT 819",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012969",
"telephone_number": "423-883-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2583 E SUNRISE BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333043203",
"telephone_number": "954-563-8288"
}
],
"practiceLocations": [
{
"address_1": "9711 W Oakland Park Blvd",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333517013",
"country_code": "US",
"telephone_number": "423-883-2535",
"fax_number": "954-944-0308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAPER",
"first_name": "LESLIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD2640",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3590042",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.