Provider Demographics
NPI:1578676052
Name:LESSER, HOWARD A
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:A
Last Name:LESSER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-4634
Mailing Address - Country:US
Mailing Address - Phone:954-726-2020
Mailing Address - Fax:954-726-8777
Practice Address - Street 1:5800 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-4634
Practice Address - Country:US
Practice Address - Phone:954-726-2020
Practice Address - Fax:954-726-8777
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO952156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0854690002Medicare NSC