Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leslie R Alonzo III, OD

Individual provider Optometrist · NPI 1598762395

Leslie R Alonzo III, OD is an Optometry in Brandon, Florida. Qualified in 1987, 39 years ago. Practices with Gregory L Henderson MD FACS Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
39
Licensed in
FL
In the registry since
2005
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

403 Vonderburg Dr Ste 101
Brandon, FL 33511-5982
Phone: (813) 681-1122
Fax: (813) 684-4924
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC2323 (FL)

Record details

NPI number1598762395
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Gregory L Henderson Md Facs Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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