Leach, Donald B
Leach, Donald B is an individual health care provider with primary practice located at 943 Main Street S.W. Los Ojos Professional Bldg, Los Lunas NM 87031. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Leach, Donald B can be contacted via phone (505) 865-4812.Contact Information
Primary practice address
943 Main Street S.W. Los Ojos Professional Bldg
Los Lunas NM 87031
Phone: (505) 865-4812
Fax: (505) 865-3767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 245OP2245 | New Mexico |
Profile Details
| NPI number | 1578561312 |
|---|---|
| LBN Legal business name | Leach, Donald B |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Mar 28th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578561312 | NPPES |
| New Mexico | Other | NM00P054 | BLUECROSS BLUESHIELD |
| New Mexico | Other | 10007839 | BLUECROSS BLUESHIELD |
| New Mexico | MEDICAID | NMP2264 | BLUECROSS BLUESHIELD |
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