Active NPI
Dr Harvey Ledesma Optometry Inc
- Optometrist
- Redlands, CA
National Provider Identifier
1295860187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CAOPT12094TPL
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.