Provider Demographics
NPI:1609557073
Name:DEBONO, LEANDRA RENE (OD)
Entity Type:Individual
Prefix:DR
First Name:LEANDRA
Middle Name:RENE
Last Name:DEBONO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:677 CREEKSIDE WAY APT 838
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5686
Mailing Address - Country:US
Mailing Address - Phone:281-935-0039
Mailing Address - Fax:
Practice Address - Street 1:2021 STATE HIGHWAY 46 W STE 103
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-5289
Practice Address - Country:US
Practice Address - Phone:830-620-6005
Practice Address - Fax:830-620-6009
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10911T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management