Individual provider Active NPI

Leslie T Dunn, OD

  • Optometrist
  • Winston Salem, NC
National Provider Identifier
1649344599
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1780 Issued in NC
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

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89O93G1MedicaidNC

Other names 1

  • Dr. Leslie Dunn Nieanber Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131214000137 NC Practitioner - Optometry 6709080062 Reassigns benefits to 2 organizations

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
Eyecare Specialties of North Carolina OD PLLCGroup PAC ID 8820462252, 12 clinicians

Practice addresses (Care Compare)

504 Village Walk Dr
Holly Springs, NC 27540-4440
Phone (919) 351-8600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1780NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecare Specialties of North Carolina OD PLLC Optometrist CurrentSince Aug 10, 2025 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince May 3, 2016 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince May 3, 2016 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 PastSince Feb 9, 2007 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.