R W Leitner Od Llc

NPI 1134474174 - Optometrist - 152W00000X

NPI Details
NPI 1134474174
Enumeration Date 07/16/2012
Last Updated 11/10/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ROBERT WILLIAM ROBERT
Position OPTOMETRIST
Phone (229) 273-2376
Fax
Practice Location
716-C 16TH AVE EAST
CORDELE GA, 31015, US
Phone (229) 273-2376
Fax
Business Location
3526 WEXFORD DR
ALBANY GA, 31721-2020, US
Phone (229) 888-3298
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number OPT000985
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According to our database, R W Leitner Od Llc NPI is 1134474174, taxonomy code is 152W00000X and license number is OPT000985, license state is located at Georgia. R W Leitner Od Llc physically located at 716-c 16th Ave East, Cordele GA, 31015. NPI Number 1033115704 has the healthcare provider type.

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1134474174 NPI number is provided on an as is basis without warranty of any kind. 1134474174 is maintained by the National Plan & Provider Enumeration System. The contents of R W Leitner Od Llc are for informational purposes only.