Leslie Alexander Bruce-Lyle, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A51441 Issued in CA

Practice address

11306 Mountain View Ave Ste E
Loma Linda, CA 92354-3832

Phone

(909) 799-1992

Fax

(909) 799-1499

NPI assigned

Sep 25, 2006

Last updated

Jun 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael Sheety MD IncGroup PAC ID 7618985987, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Sheety, M.D., Inc

  dba Sierra Eye & Laser Institute

  • Ophthalmology Physician
  • Santa Ana, CA
  • NPI 1396938361
  Medicare reassignment Care Compare group NPD
• Inland Glaucoma Service Medical Corporation

  • Ophthalmology Physician
  • Loma Linda, CA
  • NPI 1497881007
  Authorized official Same address or phone
• Orange County Glaucoma

  • Medical Specialty Clinic/Center
  • Santa Ana, CA
  • NPI 1922084359

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1316048382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 MOUNTAIN VIEW AVE STE E",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543832",
            "telephone_number": "909-799-1992",
            "fax_number": "909-799-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 MOUNTAIN VIEW AVE STE E",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543832",
            "telephone_number": "909-799-1992",
            "fax_number": "909-799-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE-LYLE",
        "first_name": "LESLIE",
        "middle_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A51441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Brown, MD
• Lance A Brown, M.D.
• Makayla Brown, MD
• Nikoli Brown
• Samuel Ramon Brown, M.D.
• Tony Bruce, LMT
• Kaveh Brumand, M.D.
• Dommonique K Bruno, LCSW
• Jennifer A Bruno
• Patrick Jerome Bryan Jr.

• Ophthalmology Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.
• 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.

Verify at the official NPI Registry.