Provider Demographics
NPI:1437287349
Name:LEONARD, DAVID E (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:LEONARD
Suffix:
Gender:M
Credentials:OD
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Other - First Name:
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Mailing Address - Street 1:155 DAMONTE RANCH PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-2990
Mailing Address - Country:US
Mailing Address - Phone:775-846-4004
Mailing Address - Fax:775-853-6421
Practice Address - Street 1:155 DAMONTE RANCH PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-2990
Practice Address - Country:US
Practice Address - Phone:775-846-4004
Practice Address - Fax:775-853-6421
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV344152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist