Active NPI
Lesli Diane Handmacher, O.D.
- Optometrist
- Berkeley, CA
National Provider Identifier
1245359090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5867
- Practice address
- 1508 Walnut St Ste D
Walnut Square
Berkeley, CA 94709-1564 - Phone
- (510) 540-5555
- Fax
- (510) 548-3999
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5867 | CA | Primary |
Addresses
Primary practice location
1508 Walnut St Ste D
Walnut Square
Berkeley, CA 94709-1564
Mailing address
1508 Walnut St Ste D
Berkeley, CA 94709-1564
Phone (510) 540-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080415000319 | CA | Practitioner - Optometry | 5597843607 | Practice locations: Berkeley, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1245359090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 WALNUT ST STE D",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091564",
"telephone_number": "510-540-5555",
"fax_number": "510-548-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 WALNUT ST STE D",
"address_2": "WALNUT SQUARE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091564",
"telephone_number": "510-540-5555",
"fax_number": "510-548-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDMACHER",
"first_name": "LESLI",
"middle_name": "DIANE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.