# MICHAEL LESSLY OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Inlet Optical Eye Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972812428
- **Authorized official:** VICTORIA MAGGIULLI (BUSINESS MANAGER)
- **Authorized official phone:** (561) 685-8177

## Contact information

- **Practice address:** 103 S US HIGHWAY 1, UNIT \#B-2, JUPITER, FL 33477-5132
- **Practice address phone:** (561) 685-8177
- **Practice address fax:** (561) 746-3268
- **Mailing address:** 103 S US HIGHWAY 1, UNIT \#B-2, JUPITER, FL 33477-5132
- **Mailing address phone:** (561) 685-8177
- **Mailing address fax:** (561) 746-3268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3355 | FL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | OPC3355 | FL | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | OPC3355 | FL | — |
| 152WP0200X | Pediatric Optometrist | OPC3355 | FL | — |
| 152WV0400X | Vision Therapy Optometrist | OPC3355 | FL | — |

## Other

- **Enumeration date:** 10/01/2010
- **Last updated:** 10/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8860624 | — | VA |