Dr. Leslie R Masciarelli Kisch is a Detroit Lakes, Minnesota based female Optometrist who is specialized in Optometry. Active license number of Dr. Leslie R Masciarelli Kisch is 2319 for Optometry in Minnesota. Dr. Leslie R Masciarelli Kisch 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. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Leslie R Masciarelli Kisch speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Female
Practice Address:
918 Washington Ave, Optical Eyedeas, Detroit Lakes, Minnesota, 56501
Phone:
218-847-8021
Fax:
218-846-9552
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1699876417
NPI Enumeration Date:
26 Sep, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Leslie R Masciarelli Kisch are as mentioned below.
License Number
Specialization
State
Status
2319
Optometry
Minnesota
Primary
490
Optometry
North Dakota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Leslie R Masciarelli Kisch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2202047
Other
Minnesota
MEDICA
36B56MA
Other
Minnesota
BCBS
2202048
Other
Minnesota
MEDICA
2207652
Other
Minnesota
MEDICA
283R7MA
Other
Minnesota
BCBS
283R8MA
Other
Minnesota
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
706 12th St Se, Barnesville, Minnesota
Zip:
56514-3960
Phone Number:
218-354-7065
Fax Number:
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Patients can reach Dr. Leslie R Masciarelli Kisch at 918 Washington Ave, Optical Eyedeas, Detroit Lakes, Minnesota or can call to book an appointment on 218-847-8021. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.