Individual
DR. LESTER EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3534 E LANCASTER AVE, FORT WORTH, TX 76103-2504
(817) 534-2771
(817) 531-1909
Mailing address
3534 E LANCASTER AVE, FORT WORTH, TX 76103-2504
(817) 534-2771
(817) 531-1909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3028TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112365502
—
TX
Enumeration date
10/06/2005
Last updated
04/28/2008
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