Provider Demographics
NPI:1073658654
Name:HAAS-LEFFLER, DEBORAH LYNN (OD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:HAAS-LEFFLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:HAAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9810 ALTERNATE A1A
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410
Mailing Address - Country:US
Mailing Address - Phone:561-694-2239
Mailing Address - Fax:531-694-2174
Practice Address - Street 1:9810 ALTERNATE A1A
Practice Address - Street 2:SUITE 107
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-694-2239
Practice Address - Fax:531-694-2174
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1996152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620188100Medicaid
FL19648Medicare ID - Type Unspecified