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Organization

MICHAEL LESSLY OD PA

Active
Other names
Inlet Optical Eye Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA MAGGIULLI (BUSINESS MANAGER)
(561) 685-8177
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3355
FL
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

Other identifiers
Code
Description
Identifier
Issuer
State
05
8860624
VA
Enumeration date
10/01/2010
Last updated
10/01/2010
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