Provider Demographics
NPI:1649297508
Name:CASHWELL, LEON FRANKLIN JR (MD)
Entity type:Individual
Prefix:DR
First Name:LEON
Middle Name:FRANKLIN
Last Name:CASHWELL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2206 RED FOREST RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2936
Mailing Address - Country:US
Mailing Address - Phone:336-282-0256
Mailing Address - Fax:
Practice Address - Street 1:8 N POINTE CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-3187
Practice Address - Country:US
Practice Address - Phone:336-274-4626
Practice Address - Fax:336-274-7952
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2013-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC17938174400000X
NC17174207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC83168Medicare UPIN