Individual provider Active NPI

Leslie Marie Cucuzza Falcon, OD

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1982786026
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1450 Issued in AZ
Practice address
1100 S Dobson Rd Ste 103
Chandler, AZ 85286-6158
Phone
(480) 857-8400
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1450 AZ Primary

Addresses

Primary practice location

1100 S Dobson Rd Ste 103
Chandler, AZ 85286-6158

Mailing address

1100 S Dobson Rd
Ste 103
Chandler, AZ 85286-6158
Phone (480) 383-9956

Other names 1

  • Dr. Leslie Marie Cucuzza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060111001059 AZ Practitioner - Optometry 0840213229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 S Dobson Rd
Suite 103
Chandler, AZ 85286-6158
Phone (480) 857-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1450AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Falcon Family Eye Care, P.C. Optometrist CurrentSince Jan 13, 2009 Accepting new patients
Rejuvenated Eyecare, PLLC Optometrist CurrentSince Jun 15, 2026 Accepting new patients
2020 Image Tempe Optometrist PastSince Oct 1, 2003 Accepting new patients
John H McDougall OD Arizona PC Optometrist PastSince Aug 1, 2018 Accepting new patients

Locations

1100 S Dobson Rd
Ste 103
Chandler, AZ 85286
Phone (480) 857-8400

Organizations & group practices 4

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1982786026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S DOBSON RD",
            "address_2": "STE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866158",
            "telephone_number": "480-383-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S DOBSON RD STE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866158",
            "telephone_number": "480-857-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON",
        "first_name": "LESLIE",
        "middle_name": "MARIE CUCUZZA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "CUCUZZA",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.