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Contact Information

DONALD B LEACH, OD
943 MAIN STREET S.W.
LOS OJOS PROFESSIONAL BLDG
LOS LUNAS, NM87031
 Phone: 505-865-4812
 Fax: 505-865-3767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DONALD B LEACH · (Male)

NPI # 1578561312
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/13/2005
Last updated 03/28/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 245OP2245
  • NM Medicaid NMP2264
  • NM Other NM00P054 BLUECROSS BLUESHIELD
  • NM Other 10007839 LOVELACE HEALTH, SR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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