Provider Demographics
NPI:1477039824
Name:GILDER, LEANNE CATHERINE (OD)
Entity Type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:CATHERINE
Last Name:GILDER
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 1:225 N COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-4230
Mailing Address - Country:US
Mailing Address - Phone:337-269-0505
Mailing Address - Fax:337-232-2347
Practice Address - Street 1:225 N COLLEGE RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4230
Practice Address - Country:US
Practice Address - Phone:337-269-0505
Practice Address - Fax:337-232-2347
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1872-807AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty