# DR. MARVIN E LEEDY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003893124
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35032575L | OH | Yes |

## Other

- **Enumeration date:** 12/29/2005
- **Last updated:** 06/13/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000131917 | ANTHEM | OH |
| 05 | — | 0455010 | — | OH |
| 01 | — | 0800638 | UNITED HEALTHCARE | OH |
| 01 | — | 0800639 | CIGNA | OH |
| 01 | — | 0800722 | UNITED FOOD COMMERCIAL | OH |
| 01 | — | 0800723 | AETNA | OH |
| 01 | — | 1058 | HOMETOWN | OH |