Individual
DR. MICHAEL H LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4521 17TH AVE, COLUMBUS, GA 31904-6344
(706) 660-0191
(706) 596-8388
Mailing address
1950 OLD GALLOWS RD, VIENNA, VA 22182-3990
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002597
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000923942C
—
GA
Enumeration date
08/11/2010
Last updated
06/08/2022
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