Provider Demographics
NPI:1528490083
Name:LESTER, RAYMOND M (OD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:M
Last Name:LESTER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:555 N WINTON RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14610-1236
Mailing Address - Country:US
Mailing Address - Phone:585-586-6524
Mailing Address - Fax:585-586-9719
Practice Address - Street 1:1671 PENFIELD RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2568
Practice Address - Country:US
Practice Address - Phone:585-586-6524
Practice Address - Fax:585-586-9719
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007974152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist