Michael G Lessly Od Pc is a
Optometrist based in Locust Grove, Virginia. Michael G Lessly Od Pc is licensed to practice in Virginia (license number 06180001596) and their current practice location is
4207 Germanna Hwy, C, Locust Grove, Virginia. It can be reached at their office (for appointments etc.) via phone at
(561) 685-8177.
NPI number for Michael G Lessly Od Pc is 1205904570 and their current mailing address is 4207 Germanna Hwy, C, Locust Grove, Virginia. Michael G Lessly Od Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1205904570.
Healthcare Provider's Profile
| Full Name | Michael G Lessly Od Pc |
|---|
| Type | Facility |
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| Speciality | Optometrist |
|---|
| Location | 4207 Germanna Hwy, Locust Grove, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205904570
- Provider Enumeration Date: 12/02/2006
- Last Update Date: 09/23/2010
Medical Identifiers
Medical identifiers for Michael G Lessly Od Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205904570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPC3355 (Florida) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 0618001596 (Virginia) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | OPC3355 (Florida) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 0618001596 (Virginia) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | OPC3355 (Florida) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 0618001596 (Virginia) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | OPC3355 (Florida) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | 0618001596 (Virginia) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | OPC3355 (Florida) | Secondary |
| 152W00000X | Optometrist | 06180001596 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael G Lessly Od Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael G Lessly Od Pc
4207 Germanna Hwy, C,
Locust Grove, VA 22508-2040
Ph: (561) 685-8177 | Michael G Lessly Od Pc
4207 Germanna Hwy, C,
Locust Grove, VA 22508-2040
Ph: (561) 685-8177 |
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