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General NPI Number Information
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NPI Number | 1003548538
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Entity Type | Individual
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Provider Name | TYLER JAMES LESKO OD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1722 NEW BEDFORD RD STE 1
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07719-3870
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Country | US
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Telephone | 732-974-1400
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Fax | 732-974-2121
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Provider Business Mailing Address
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Address Line | 1722 NEW BEDFORD RD STE 1
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07719-3870
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Country | US
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Telephone | 732-531-6300
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Fax | 732-531-9149
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OM0017990
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00713400
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License Number State | NJ
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