Provider Demographics
NPI:1578721791
Name:LEFFLER EYE CARE CENTER INC.
Entity Type:Organization
Organization Name:LEFFLER EYE CARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:561-694-2239
Mailing Address - Street 1:9810 ALT A1A
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4932
Mailing Address - Country:US
Mailing Address - Phone:561-694-2239
Mailing Address - Fax:561-694-2214
Practice Address - Street 1:9810 ALT A1A
Practice Address - Street 2:SUITE 107
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4932
Practice Address - Country:US
Practice Address - Phone:561-694-2239
Practice Address - Fax:561-694-2214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1848152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1254170001OtherDURABLE MEDICAL EQUIPMENT