Leslie Allan Eisner, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

34169 Issued in AZ

Practice address

20940 N Tatum Blvd
Suite 370
Phoenix, AZ 85050-4265

Phone

(480) 563-8787

Fax

(480) 563-2377

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allan.eisner@1212.chartlogic.direct-ci.com

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.

• Millennium Vision Inc

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1184730251
  Medicare reassignment NPD
• Arizona Glaucoma Specialists PC

  • Glaucoma Specialist (Ophthalmology) Physician
  • Tucson, AZ
  • NPI 1538257753
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1629090683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "STE 370",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "SUITE 370",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504265",
            "telephone_number": "480-563-8787",
            "fax_number": "480-563-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISNER",
        "first_name": "LESLIE",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "025474",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "34169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Samuel Eisenberg, DNP
• Manuel S Eisenberg, M.D.
• Matthew Thomas Eisenberg, MD
• Bernard Ronald Eisenfeld, M.D.
• Anita W Eisenhart, DO
• Amirarsalan Eissa, M.D.
• Louries Eissa
• Ejecutivos Taxi
• Jude Chibuogwu Ejim, NP
• Sandra Denise Ekeinde, PHD

• Ophthalmology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.