Individual provider Active NPI

Leslie Lynne Demers, O.D.

  • Pediatric Optometrist
  • Sparks, NV
National Provider Identifier
1487769030
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
556 Issued in NV
Practice address
670 N McCarran Blvd
Sparks, NV 89431-4600
Phone
(775) 358-1317
Fax
(775) 355-7522
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 556 NV Primary

Addresses

Primary practice location

670 N McCarran Blvd
Sparks, NV 89431-4600

Mailing address

670 N McCarran Blvd
Sparks, NV 89431-4600
Phone (775) 358-1317

Other identifiers 3

IdentifierTypeStateIssuer
1487769030MedicaidNV
1487769030OtherNVNPI
1649388794OtherNVBILLING NPI

Other names 1

  • Dr. Leslie Lynne Hanson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20070228000249 NV Practitioner - Optometry 5092817650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Demers Family Vision Group, Inc.Group PAC ID 2860594488, 5 clinicians

Practice addresses (Care Compare)

4874 Sparks Blvd
Sparks, NV 89436-8206
Phone (775) 358-1317

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Demers Family Vision Group, Inc. Pediatrics CurrentSince Aug 5, 2006 Accepting new patients

Locations

670 N McCarran Blvd
Sparks, NV 89431
Phone (775) 358-1317

4874 Sparks Blvd
Sparks, NV 89436
Phone (775) 358-1317

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1487769030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N MCCARRAN BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894314600",
            "telephone_number": "775-358-1317",
            "fax_number": "775-355-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N MCCARRAN BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894314600",
            "telephone_number": "775-358-1317",
            "fax_number": "775-355-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERS",
        "first_name": "LESLIE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NV",
            "license": "556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487769030",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487769030",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING NPI",
            "identifier": "1649388794",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "HANSON",
            "middle_name": "LYNNE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.