MEDICARE: LESLIE DRAPER OD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578887485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LESLIE DRAPER OD PC

Provider Business Mailing Address
First Line	:	915 MIDDLE RIVER DR STE 420
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-3561
Country	:	US
Telephone Number	:	954-372-6822
Fax Number	:	954-372-6838

Provider Business Practice Location Address
First Line	:	915 MIDDLE RIVER DR STE 420
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-3561
Country	:	US
Telephone Number	:	954-372-6822
Fax Number	:	954-372-6838

Authorized Official
Title or Position	:	OPTOMETRIC PHYSICIAN/OWNER
Name	:	DR. LESLIE DRAPER
Credential	:	O.D.
Telephone Number	:	423-468-3305

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	07/18/2025

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