Provider Demographics
NPI:1013087139
Name:COX, LEIGH E (OD)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:E
Last Name:COX
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:821 HOGAN LN
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-7974
Mailing Address - Country:US
Mailing Address - Phone:501-548-0226
Mailing Address - Fax:501-548-3591
Practice Address - Street 1:821 HOGAN LN
Practice Address - Street 2:SUITE 500
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-7974
Practice Address - Country:US
Practice Address - Phone:501-548-0226
Practice Address - Fax:501-548-3591
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2552152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR165198722Medicaid
AR2552OtherLICENSE NUMBER
AR0852830001Medicare NSC
AR49942Medicare PIN