Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Leslie R Masciarelli Kisch, OD

Individual provider Optometrist · NPI 1699876417

Dr. Leslie R Masciarelli Kisch, OD is an Optometrist in Detroit Lakes, Minnesota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2006.

Licensed in
MN, ND
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

918 Washington Ave Optical Eyedeas
Detroit Lakes, MN 56501
Phone: (218) 847-8021
Fax: (218) 846-9552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2319 (MN)
Optometrist Taxonomy 152W00000X · Licence 490 (ND)

Record details

NPI number1699876417
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJuly 8, 2007

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