LESLIE KLIETHERMES


Address: 70 Providence Pl, Providence, RI 02903-1747
Phone: 4012430685

LESLIE KLIETHERMES (NPI# 1588750194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588750194
Entity Type Individual
Full Name LESLIE KLIETHERMES
Credential O.D.
Practice Address 70 Providence Pl
Providence
RI 02903-1747
Mailing Address 176 Heidi Dr
Portsmouth
RI 02871-3517
Practice Telephone 4012430685
Mailing Telephone 2544230536
Enumeration Date 2006-10-04
Last Update Date 2013-02-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist OD681 HI Eye and Vision Services Providers
Y 152W00000X Optometrist ODTA00547 RI Eye and Vision Services Providers
N 152W00000X Optometrist 05575T TX Eye and Vision Services Providers

Office Location

Street Address 70 PROVIDENCE PL
City PROVIDENCE
State RI
Zip Code 02903-1747

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1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396251740 Mandalay Optical Labs, LLC Optometrist 905 Westminster St, Providence, RI 02903-4020 2017-12-21
1427464510 Kriti Bhagat Optometrist 100 Highland Ave Ste 304, Providence, RI 02906-2753 2014-07-09
1073959151 East Side Vision Care Inc Optometrist 213 Thayer St, Providence, RI 02906-1210 2013-05-16
1528299245 South Valley Eyecare Center, Inc. Optometrist 276 Springcreek Pkwy, Providence, UT 84332 2009-07-29
1801981691 James Lawrence Norton Optometrist 740 North Main Street, Providence, RI 02904 2006-10-04
1417067950 David Alan Smith Optometrist 276 N. Springcreek Pkwy, Providence, UT 84332-9707 2006-08-30
1720095953 John D Corrow Optometrist 780 North Main St., Providence, RI 02904 2006-08-01
1982637153 Earle Ullman Scharff IIi Optometrist 55 Dorrance St, Providence, RI 02903-2221 2006-07-09
1205826997 Paul A De Cesare Optometrist 354 Broadway, Providence, RI 02909 2005-10-25
1861492001 John E. Ormando Optometrist 891 Westminster St, Providence, RI 02903-4020 2005-07-29
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Competitor

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City PROVIDENCE
Zip Code 02903

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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