Active NPI
Thomas J Lesjak, O.D.
- Optometrist
- Parker, CO
National Provider Identifier
1578690855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1134
- Practice address
- 10521 S Parker Rd
Parker, CO 80134-9082 - Phone
- (303) 841-8243
- Fax
- (303) 841-3752
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1134 | CO | Primary |
Addresses
Primary practice location
10521 S Parker Rd
Parker, CO 80134-9082
Mailing address
10521 S Parker Rd
Parker, CO 80134-9082
Phone (303) 841-8243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410012223 | Other | CO | RAILROAD MEDICARE PIN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1134 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1578690855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10521 S PARKER RD",
"city": "PARKER",
"state": "CO",
"postal_code": "801349082",
"telephone_number": "303-841-8243",
"fax_number": "303-841-3752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10521 S PARKER RD",
"city": "PARKER",
"state": "CO",
"postal_code": "801349082",
"telephone_number": "303-841-8243",
"fax_number": "303-841-3752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESJAK",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "410012223",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.