Leech, Thomas Gene
Leech, Thomas Gene is an individual health care provider with primary practice located at 2282 Nw Troost St Suite 104, Roseburg OR 97470-6071. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Leech, Thomas Gene can be contacted via phone (541) 672-7428.Contact Information
Primary practice address
2282 Nw Troost St Suite 104
Roseburg OR 97470-6071
Phone: (541) 672-7428
Fax: (541) 672-7430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1490T | Oregon |
Profile Details
| NPI number | 1952378945 |
|---|---|
| LBN Legal business name | Leech, Thomas Gene |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1952378945 | NPPES |
| Oregon | MEDICAID | 264523 |
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