Individual
LEAH GLADYS JANOUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
220 S 63RD ST, MESA, AZ 85206-1619
(480) 372-2616
Mailing address
PO BOX 200414, DALLAS, TX 75320-0414
(602) 366-5385
(480) 924-5094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
9291T
TX
152W00000X
Optometrist
Primary
OPT-002299
AZ
Other
Enumeration date
07/24/2017
Last updated
10/21/2025
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