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Contact Information

DONALD B. LEACH, O.D., P.C.
943 MAIN STREET SW
LOS LUNAS, NM87031-8748
 Phone: 505-865-4812
 Fax: 505-865-3767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Exclusive Provider Organization

302F00000X
Indicates primary specialty

NPI Profile & details for DONALD B. LEACH, O.D., P.C.

NPI Number 1073784351
LBN Legal business name DONALD B. LEACH, O.D., P.C.
Authorized official DONALD LEACH - (PRESIDENT/DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2008
Last updated 10/09/2012 - About 14 years ago
Identifiers
NM License # 245/OP2245
NM Medicaid NMB2264
NM Other NM00P054 BLUECROSS BLUESHIELD
NM Other 10007839 LOVELACE HEALTH, SR
NM Other 201005637 PRESBYTERIAN HEALTH, SR
NM Other 826580615 RAILROAD MEDICARE
NM Other 999995614 VSP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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