NPI 1073784351 · live from the CMS NPI Registry
Donald B. Leach, O.D., P.C.
Optometrist in Los Lunas, NM. National Provider Identifier 1073784351, active.
NPI record
| NPI | 1073784351 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 943 Main Street Sw, Los Lunas, NM 87031 |
| Practice phone | 505-865-4812 |
| Enumerated | March 14, 2008 |
| Last updated | October 9, 2012 |
| Authorized official | Donald Leach, President/Doctor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Exclusive Provider Organization | 302F00000X | 245/op2245 (NM) |
| Optometrist primary | 152W00000X | 245/OP2245 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.