Organization
BARRY LEONARD OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY W. LEONARD O.D. (OPTOMETRIST)
(818) 891-6711
Entity
Organization
Contact information
Practice address
14425 CHASE ST, PANORAMA CITY, CA 91402-3016
(818) 891-6711
(818) 891-5272
Mailing address
14425 CHASE ST, PANORAMA CITY, CA 91402-3016
(818) 891-6711
(818) 891-5272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7826T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0078260
—
CA
Enumeration date
12/19/2005
Last updated
04/24/2008
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