Organization
TIMOTHY J LEACH OD A PROFESSIONAL OPTOMETRIST CORPORATION
Active
Other names
ST CHARLES VISION SEVERN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET DUPLESSIS (INSURANCE ADMINISTRATOR)
(504) 247-9116
Entity
Organization
Contact information
Practice address
3200 SEVERN AVE, SUITE 102, METAIRIE, LA 70002-4791
(504) 887-2020
(504) 887-7698
Mailing address
3200 SEVERN AVE, SUITE 102, METAIRIE, LA 70002-4791
(504) 887-2020
(504) 887-7698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1241-391T
LA
Other
Enumeration date
01/06/2012
Last updated
06/13/2012
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