Lesage, Robert G.

Lesage, Robert G. is an individual health care provider with primary practice located at 5995 S Pointe Blvd Ste 111, Fort Myers FL 33919-3273. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lesage, Robert G. can be contacted via phone (239) 482-0355.

Contact Information

Primary practice address
5995 S Pointe Blvd Ste 111 Fort Myers FL 33919-3273
Phone: (239) 482-0355
Fax: (239) 482-8930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC001100 Florida

Profile Details

NPI number 1073519153
LBN Legal business name Lesage, Robert G.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073519153 NPPES
Florida MEDICAID 078450800

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