# LESLIE M ANDERSON OD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780798827
- **Authorized official:** DR. LESLIE M. ANDERSON OD (PRESIDENT/OPTOMETRIST)
- **Authorized official phone:** (704) 545-8831

## Contact information

- **Practice address:** 11235 LAWYERS RD, CHARLOTTE, NC 28227-9355
- **Practice address phone:** (704) 545-8831
- **Practice address fax:** (704) 545-2354
- **Mailing address:** PO BOX 23176, CHARLOTTE, NC 28227-0274
- **Mailing address phone:** (704) 545-8831
- **Mailing address fax:** (704) 545-2354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | 1078 | NC | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 02/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8909027 | — | NC |