Odell, Leslie E

Odell, Leslie E is an individual health care provider with primary practice located at 781 Far Hills Dr Ste 100 , New Freedom PA 17349-8447. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Odell, Leslie E can be contacted via phone (717) 759-5929.

Contact Information

Primary practice address
781 Far Hills Dr Ste 100 New Freedom PA 17349-8447
Phone: (717) 759-5929
Fax: (717) 563-0348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001304 Pennsylvania

Profile Details

NPI number 1922009745
LBN Legal business name Odell, Leslie E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 6th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922009745 NPPES
Pennsylvania Other 1432309 BLUE SHIELD
Pennsylvania Other 50034412 BLUE SHIELD

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