Active NPI
Leslie T Dunn, OD
- Optometrist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1780
- Practice address
- 800 S Stratford Rd
Winston Salem, NC 27103-3202 - Phone
- (336) 765-5788
- Fax
- (336) 765-5584
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1780 | NC | Primary |
Addresses
Primary practice location
800 S Stratford Rd
Winston Salem, NC 27103-3202
Mailing address
3732 Creekshire CT
Winston Salem, NC 27103-1363
Phone (335) 793-5904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89O93G1 | Medicaid | NC |
Other names 1
- Dr. Leslie Dunn Nieanber
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
504 Village Walk Dr
Holly Springs, NC 27540-4440
Phone (919) 351-8600
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1780 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecarecenter OD PA | Optometrist | Current | Accepting new patients |
| Eyecare Specialties of North Carolina OD PLLC | Optometrist | Current | Accepting new patients |
| Eyecarecenter, O.D., P.a. | Optometrist | Current | Accepting new patients |
| Eyecarecenter OD PA | Optometrist | Current | Accepting new patients |
| Sid | Past | Accepting new patients | |
| C.V. Sikes,Jr. & R.B. Gotschalk PTR | Optometrist | Past | Accepting new patients |
| Paul W. Nienaber, OD, PA | Optometrist | Past | Accepting new patients |
Locations
504 Village Walk Dr
Holly Springs, NC 27540
Phone (919) 351-8600
819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020
800 S Stratford Rd
Winston Salem, NC 27103
Phone (336) 765-5788
3443 Burke Mill Rd
Winston Salem, NC 27103
Phone (336) 331-0231
Interoperability endpoints
- ldunn@direct.eyecare-partners.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Holly Springs, NC
- NPI 1699483586
-
- Optometrist
- Cary, NC
- NPI 1417973546
-
dba Family Eye Care Optometry
- Optometrist
- Sanford, NC
- NPI 1083768311
-
- Optometrist
- Rural Hall, NC
- NPI 1700983954
-
- Eyewear Supplier
- Pilot Mountain, NC
- NPI 1730340860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1649344599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3732 CREEKSHIRE CT",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031363",
"telephone_number": "335-793-5904",
"fax_number": "336-768-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S STRATFORD RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033202",
"telephone_number": "336-765-5788",
"fax_number": "336-765-5584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "LESLIE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89O93G1",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "NIEANBER",
"middle_name": "DUNN",
"prefix": "DR.",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.