Lester Eisenberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3028TG Issued in TX

Practice address

3534 E Lancaster Ave
Fort Worth, TX 76103-2504

Phone

(817) 534-2771

Fax

(817) 531-1909

NPI assigned

Oct 6, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Av Eyecare

  • Optometrist
  • Irving, TX
  • NPI 1134873136
  Medicare reassignment NPD
• Infinity Vision Associates PLLC

  • Optometrist
  • Carrollton, TX
  • NPI 1033540265
  NPD (past)
• Greenport Drugs LLC

  • Community/Retail Pharmacy
  • Greenport, NY
  • NPI 1174978084
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1316934136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761032504",
            "telephone_number": "817-534-2771",
            "fax_number": "817-531-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761032504",
            "telephone_number": "817-534-2771",
            "fax_number": "817-531-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3028TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112365502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Ehlen, CSFA
• Anniina Emili Ehrman, MA, LPC
• Daniel R. Eickenhorst, M.D.
• Chelsea Eide, NP-C
• Brittany N Eischeid, AGACNP-BC
• Sylvaria Ekenasi
• Ian Ekery
• Nkechi Vivian Ekezie
• Eklingji Healthcare LLC
• Jennifer M. Eklund, LPC

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.

Verify at the official NPI Registry.