Provider Demographics
NPI:1952062267
Name:LE-ASIS OPTOMETRY, INC.
Entity Type:Organization
Organization Name:LE-ASIS OPTOMETRY, INC.
Other - Org Name:OASIS OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:951-660-7699
Mailing Address - Street 1:7041 SCHAEFER AVE STE E
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-9113
Mailing Address - Country:US
Mailing Address - Phone:909-679-6344
Mailing Address - Fax:909-546-5700
Practice Address - Street 1:7041 SCHAEFER AVE STE E
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-9113
Practice Address - Country:US
Practice Address - Phone:951-660-7699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-08
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty