Active NPI
Lester Lawrence Branson, OD
- Optometrist
- Denton, MD
National Provider Identifier
1770568677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MDTA0577
- Practice address
- 320 Market St
Denton, MD 21629-1039 - Phone
- (410) 479-0500
- Fax
- (410) 479-0877
- NPI assigned
- Dec 13, 2005
- 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 | MDTA0577 | MD | Primary |
Addresses
Primary practice location
320 Market St
Denton, MD 21629-1039
Mailing address
PO Box 276
Denton, MD 21629-0276
Phone (410) 479-2546
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036304 | Other | MD | DAVIS VISION |
| X075LE | Other | MD | CAREFIRST BCBS |
| 800902300 | Medicaid | MD | |
| 900625 | Other | MD | BLOCK VISION |
| BB06650 | Other | MD | SPECTERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110107000624 | MD | Practitioner - Optometry | 0648469569 | Practice locations: Denton, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDTA0577 | MD | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1770568677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276",
"city": "DENTON",
"state": "MD",
"postal_code": "216290276",
"telephone_number": "410-479-2546",
"fax_number": "410-479-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 MARKET ST",
"city": "DENTON",
"state": "MD",
"postal_code": "216291039",
"telephone_number": "410-479-0500",
"fax_number": "410-479-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANSON",
"first_name": "LESTER",
"middle_name": "LAWRENCE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "MDTA0577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "036304",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "X075LE",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800902300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION",
"identifier": "900625",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "BB06650",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.