Michael Lessly OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3355 Issued in FL

Legal business name

MICHAEL LESSLY OD PA

Practice address

103 S US Highway 1
Unit #B-2
Jupiter, FL 33477-5132

Phone

(561) 685-8177

Fax

(561) 746-3268

NPI assigned

Oct 1, 2010

Organization subpart

No

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

Authorized official

Name

Victoria Maggiulli

Title

Business Manager

Phone

(561) 685-8177

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Inlet Optical Eye Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Michael Guyton Lessly, O.D.

  • Optometrist
  • Jupiter, FL
  • NPI 1790709699
  Medicare reassignment NPD

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1972812428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S US HIGHWAY 1",
            "address_2": "UNIT #B-2",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775132",
            "telephone_number": "561-685-8177",
            "fax_number": "561-746-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S US HIGHWAY 1",
            "address_2": "UNIT #B-2",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775132",
            "telephone_number": "561-685-8177",
            "fax_number": "561-746-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL LESSLY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "MAGGIULLI",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "561-685-8177"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3355",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC3355",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "FL",
            "license": "OPC3355",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC3355",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC3355",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8860624",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inlet Optical Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.