Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THOMAS JOHN LIESEGANG M.D.
NPI 1629068549
Ophthalmology in Jacksonville, FL

Q: What is Thomas Liesegang's NPI number?

The NPI number for Thomas Liesegang is 1629068549. It was assigned to this individual provider in the NPPES registry on October 22, 2005.

Q: What is Thomas Liesegang's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Liesegang was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 22, 2005

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Thomas John Liesegang M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS JOHN LIESEGANG M.D. (NPI 1629068549) is an individual ophthalmology provider in Jacksonville, Florida, licensed in Florida (ME21511) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1629068549

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. THOMAS JOHN LIESEGANGCredential: M.D.

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateOctober 22, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1629068549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME21511

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Other Identifiers 1

Other92822FL · Bluecross/blueshield

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE L WALSH PA-C/MPH

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