Active NPI
Leslie Ivan Denes, O.D.
- Optometrist
- W. Bloomfield, MI
National Provider Identifier
1962548313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003050
- Practice address
- 6476 Orchard LK Road
15631 Grand River Detroit Mi
W. Bloomfield, MI 48322 - Phone
- (248) 851-6300
- Fax
- (248) 538-1460
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- 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 | 4901003050 | MI | Primary |
Addresses
Primary practice location
6476 Orchard LK Road
15631 Grand River Detroit Mi
W. Bloomfield, MI 48322
Mailing address
6609 Westbrooke CT
West Bloomfield, MI 48322
Phone (248) 661-2274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearle Vision Inc | Optometrist | Past | Accepting new patients |
| Pearle Vision Inc | Past | Accepting new patients |
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.
-
- Optometrist
- New Hudson, MI
- NPI 1891840682
-
- Eyewear Supplier
- Fairview Heights, IL
- NPI 1982744033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962548313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6609 WESTBROOKE CT",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48322",
"telephone_number": "248-661-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6476 ORCHARD LK ROAD",
"address_2": "15631 GRAND RIVER DETROIT MI",
"city": "W. BLOOMFIELD",
"state": "MI",
"postal_code": "48322",
"telephone_number": "248-851-6300",
"fax_number": "248-538-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENES",
"first_name": "LESLIE",
"middle_name": "IVAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in W. Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.