Leslie R Masciarelli Kis in Detroit Lakes - Optometrist
Leslie R Masciarelli Kis - NPI 1699876417
Leslie R Masciarelli Kis is a Optometrist in Detroit Lakes, Minnesota. Leslie R Masciarelli Kis practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Leslie R Masciarelli Kis is 1699876417. The last update date is 2007-07-08.
Leslie R Masciarelli Kis's current location address is 918 Washington Ave, Detroit Lakes, Minnesota. You can contact this provider via phone number 2188478021 and fax number 2188469552. The mailing address for Leslie R Masciarelli Kis is 918 Washington Ave, Detroit Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie R Masciarelli Kis |
|---|---|
| Address | 918 Washington Ave, Detroit Lakes, Minnesota |
| Phone Number | 2188478021 |
| Fax Number | 2188469552 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1699876417 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 918 Washington Ave |
|---|---|
| City | Detroit Lakes |
| State | Minnesota (MN) |
| Post Code | 56501 |
| Phone Number | 2188478021 |
| Fax Number | 2188469552 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2319 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2202047 | MN | MEDICA | |
| 36B56MA | MN | BCBS | |
| 2202048 | MN | MEDICA | |
| 2207652 | MN | MEDICA | |
| 283R7MA | MN | BCBS | |
| 283R8MA | MN | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Leslie R Masciarelli Kis by the Centers for Medicare & Medicaid Services?
The Leslie R Masciarelli Kis has been issued the NPI (National Provider Identifier) 1699876417. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Leslie R Masciarelli Kis?
The Leslie R Masciarelli Kis is physically situated at 918 Washington Ave, in the city of Detroit Lakes, state of MN, with the postal code 56501.
What is Leslie R Masciarelli Kis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Leslie R Masciarelli Kis is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
When did Leslie R Masciarelli Kis receive its 1699876417 assignment?
The Leslie R Masciarelli Kis was assigned its 1699876417 on 2006-09-26, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Leslie R Masciarelli Kis most recently updated or revised?
The details related to Leslie R Masciarelli Kis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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