Individual provider Active NPI

Omar Lenfesty, O.D., A.SC.

  • Optometrist
  • Springfield, PA
National Provider Identifier
1336514496
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003105 Issued in PA
Practice address
1260 E Woodland Ave
Springfield, PA 19064-3969
Phone
(610) 544-4303
Fax
(610) 544-5092
NPI assigned
Dec 1, 2015
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003105 PA Primary

Addresses

Primary practice location

1260 E Woodland Ave
Springfield, PA 19064-3969

Mailing address

104 Manor Dr
Lansdale, PA 19446-1676
Phone (610) 544-4303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OEG003105PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1336514496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MANOR DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461676",
            "telephone_number": "610-544-4303",
            "fax_number": "610-544-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643969",
            "telephone_number": "610-544-4303",
            "fax_number": "610-544-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENFESTY",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "O.D., A.SC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.