Individual provider · Type 1 NPI

Leslie R. Masciarelli Kisch, OD

Optometrist · Detroit Lakes, MN

NPI number 1699876417 Active

Practice location

918 Washington Ave, Optical Eyedeas
Detroit Lakes, MN 56501

Fax (218) 846-9552

Mailing address

706 12th St SE
Barnesville, MN 56514-3960

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X2319 (MN)
Optometrist 152W00000X490 (ND)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1699876417

Leslie R. Masciarelli Kisch, OD's National Provider Identifier is 1699876417, issued on Sep 26, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Jul 8, 2007.