Provider Demographics
NPI:1386027662
Name:ALMEIDA, LEISEANE PAIVA (OD)
Entity Type:Individual
Prefix:DR
First Name:LEISEANE
Middle Name:PAIVA
Last Name:ALMEIDA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 N BOUNDARY BLVD BLDG 926
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33621-5050
Mailing Address - Country:US
Mailing Address - Phone:813-840-1161
Mailing Address - Fax:813-840-1173
Practice Address - Street 1:3108 N BOUNDARY BLVD
Practice Address - Street 2:BLDG 926
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33621-5050
Practice Address - Country:US
Practice Address - Phone:813-840-1161
Practice Address - Fax:813-840-1173
Is Sole Proprietor?:No
Enumeration Date:2015-07-03
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT6422152W00000X
FLOPC5063152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist