MEDICARE: TYLER JAMES LESKO OD

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	27OM0017990	NJ
2	152W00000X	Optometrist	27OA00713400	NJ

General Provider Information

NPI Number	:	1003548538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER JAMES LESKO OD

Provider Business Mailing Address
First Line	:	1722 NEW BEDFORD RD STE 1
Second Line	:
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-3870
Country	:	US
Telephone Number	:	732-531-6300
Fax Number	:	732-531-9149

Provider Business Practice Location Address
First Line	:	1722 NEW BEDFORD RD STE 1
Second Line	:
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-3870
Country	:	US
Telephone Number	:	732-974-1400
Fax Number	:	732-974-2121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2022
Last Update Date	:	02/09/2026

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