Organization
LEACH EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHI LYNN LEACH O.D. (OWNER)
(715) 693-2400
Entity
Organization
Contact information
Practice address
412 3RD ST, MOSINEE, WI 54455-1425
(715) 693-2400
(715) 693-4699
Mailing address
PO BOX 239, MOSINEE, WI 54455-0239
(715) 693-2400
(715) 693-4699
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1677-035
WI
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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