Leslie Ann Church, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3438 Issued in FL

Practice address

27607 State Road 56
Suite 101
Wesley Chapel, FL 33544-8834

Phone

(813) 406-4993

Fax

(813) 406-4997

NPI assigned

Aug 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Insight Family Eyecare, P.a.

  • Optometrist
  • Wesley Chapel, FL
  • NPI 1538492285
  NPD (past) Authorized official
• Trinity Family Eyecare, P.a.

  • Optometrist
  • Trinity, FL
  • NPI 1548389018
  NPD (past) Authorized official
• Optometric Associates of Florida, P.a.

  • Optometrist
  • Largo, FL
  • NPI 1346316676
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1992798052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27607 STATE ROAD 56",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448834",
            "telephone_number": "813-406-4993",
            "fax_number": "813-406-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27607 STATE ROAD 56",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448834",
            "telephone_number": "813-406-4993",
            "fax_number": "813-406-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620574700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Childrens Progress ABA LLC
• Silvana Chipollini, MSN, APRN, PMHNP-BC
• Sandra L Chmielewski, LMHC
• Adam Chronister
• Aparna V. Chunduri, MD
• Shabana Mandviwala Churruca, LMHC
• Beverly Ciampa, APRN-C
• Shirley Cid
• Hilario Joel Ciprian
• Nina Cirkovic, APRN

• All providers in Wesley Chapel, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.