Individual provider Active NPI

Leo Edelsberg, OD

  • Optometrist
  • Aventura, FL
National Provider Identifier
1851302020
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1830 Issued in FL
Practice address
19575 Biscayne Blvd
# 579
Aventura, FL 33180-2325
Phone
(305) 935-2999
Fax
(305) 933-8338
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1830 FL Primary

Addresses

Primary practice location

19575 Biscayne Blvd
# 579
Aventura, FL 33180-2325

Mailing address

19575 Biscayne Blvd
# 579
Aventura, FL 33180-2325
Phone (305) 935-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20091107000020 FL Practitioner - Optometry 4789722042 Receives reassigned benefits from 1 practitioner
Practice locations: Aventura, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19575 Biscayne Blvd
Suite 579
Aventura, FL 33180-2312
Phone (305) 935-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1830FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Leo Edelsberg and Associates Optometrist PastSince Jan 1, 1990 Accepting new patients
Optical World of Aventura, Inc. Optometrist PastSince Nov 9, 2025 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851302020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19575 BISCAYNE BLVD",
            "address_2": "# 579",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802325",
            "telephone_number": "305-935-2999",
            "fax_number": "305-933-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19575 BISCAYNE BLVD",
            "address_2": "# 579",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802325",
            "telephone_number": "305-935-2999",
            "fax_number": "305-933-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSBERG",
        "first_name": "LEO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.