Individual provider Active NPI

Leslie A Draper, OD

  • Optometrist
  • Fort Lauderdale, FL
National Provider Identifier
1083713622
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4017 Issued in FL
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

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3590042MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000562 FL Practitioner - Optometry 4486668324 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
OPC4017FLMDOptometrist
OD2640TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian a. Asalone, O.D., P.a. Optometrist CurrentSince Oct 6, 2024 Accepting new patients
Nicholas Rashid OD PA Optometrist CurrentSince Apr 1, 2020 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.

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

Verify at the official NPI Registry.