Organization
MICHAEL G LESSLY OD PC
Active
Other names
Lessly Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA M MAGGIULLI (BUSINESS MANAGER)
(561) 685-8177
Entity
Organization
Contact information
Practice address
4207 GERMANNA HWY, C, LOCUST GROVE, VA 22508-2040
(561) 685-8177
(540) 972-6788
Mailing address
4207 GERMANNA HWY, C, LOCUST GROVE, VA 22508-2040
(561) 685-8177
(540) 972-6788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06180001596
VA
152W00000X
Optometrist
OPC3355
FL
152WC0802X
Corneal and Contact Management Optometrist
0618001596
VA
152WC0802X
Corneal and Contact Management Optometrist
OPC3355
FL
152WL0500X
Low Vision Rehabilitation Optometrist
0618001596
VA
152WL0500X
Low Vision Rehabilitation Optometrist
OPC3355
FL
152WP0200X
Pediatric Optometrist
0618001596
VA
152WP0200X
Pediatric Optometrist
OPC3355
FL
152WV0400X
Vision Therapy Optometrist
0618001596
VA
152WV0400X
Vision Therapy Optometrist
OPC3355
FL
Other
Enumeration date
12/02/2006
Last updated
09/23/2010
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