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LESLIE M ANDERSON OD PA NPI 1780798827


NPI Information

NPI: 1780798827
Provider Name: LESLIE M ANDERSON OD PA
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
11235 LAWYERS RD
CHARLOTTE, NC
ZIP 28227
Phone: (704) 545-8831
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LESLIE M ANDERSON OD PA is a corneal and contact management optometrist in Charlotte, NC. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. LESLIE M ANDERSON OD PA NPI is 1780798827. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11235 LAWYERS RD
CHARLOTTE, NC
ZIP 28227-355
Phone: (704) 545-8831
Fax: (704) 545-2354

The provider's authorized official is Leslie M. Anderson .
The authorized official title is President/optometrist and has the following contact phone number (704) 545-8831.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 2/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact Management1078NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18909027MEDICAIDNORTH CAROLINA
2246412MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
30648710001MEDICARE NSCNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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