Leslie M Anderson OD PA

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

1078 Issued in NC

Legal business name

LESLIE M ANDERSON OD PA

Practice address

11235 Lawyers Rd
Charlotte, NC 28227-9355

Phone

(704) 545-8831

Fax

(704) 545-2354

NPI assigned

Aug 18, 2006

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leslie M. Anderson, ODNPI 1396968327

Title

President/Optometrist

Phone

(704) 545-8831

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie McEwen Anderson, O.D.

  • Corneal and Contact Management Optometrist
  • Charlotte, NC
  • NPI 1396968327
  Medicare reassignment NPD Authorized official
• Joan Peyton Diehl, DMD

  • Dentist
  • Charlotte, NC
  • NPI 1003929480
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1780798827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23176",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282270274",
            "telephone_number": "704-545-8831",
            "fax_number": "704-545-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11235 LAWYERS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279355",
            "telephone_number": "704-545-8831",
            "fax_number": "704-545-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE M ANDERSON OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "704-545-8831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "1078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909027",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Les Services LLC
• David Jack Lesansky, D.M.D.
• Mackenzie Lesemann
• Tamara Smith Lesesne, MA, LPC
• Leslie H Petruk Ma LPC NCC (The Stone Center for Counseling & Leadership)
• Leslie Van Horn Nutrition LLC
• Alberto Leslie
• Susan Lynn Leslie, MS, RDN
• Madison Marie Lesniak
• Anna Layne Leson, SLP

• Corneal and Contact Management Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Corneal and Contact Management Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.