Organization Active NPI

Dr Harvey Ledesma Optometry Inc

  • Optometrist
  • Redlands, CA
National Provider Identifier
1295860187
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CAOPT12094TPL Issued in CA
Legal business name
DR HARVEY LEDESMA OPTOMETRY INC
Practice address
490 Alabama St
Suite 107
Redlands, CA 92373-8089
Phone
(909) 793-5565
Fax
(909) 793-5575
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Harvey Dennis Ledesma, O.D.
Title
Ceo
Phone
(909) 793-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X CAOPT12094TPL CA Primary

Addresses

Primary practice location

490 Alabama St
Suite 107
Redlands, CA 92373-8089

Mailing address

490 Alabama St
Suite 107
Redlands, CA 92373-8089
Phone (909) 793-5565

National Provider Directory

National Provider Directory

Locations

490 Alabama St
Ste 107
Redlands, CA 92373
Phone (909) 793-5565

4124 N Sierra Way
Sn Bernrdno, CA 92407
Phone (909) 883-4900

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1295860187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 ALABAMA ST",
            "address_2": "SUITE 107",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738089",
            "telephone_number": "909-793-5565",
            "fax_number": "909-793-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 ALABAMA ST",
            "address_2": "SUITE 107",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738089",
            "telephone_number": "909-793-5565",
            "fax_number": "909-793-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HARVEY LEDESMA OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-793-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CAOPT12094TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.