Organization
BRIDGEPORT EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON M FAVEDE OD (OWNER)
(740) 359-5920
Entity
Organization
Contact information
Practice address
100 3RD ST, BRIDGEPORT, OH 43912-1605
(740) 635-2020
Mailing address
100 3RD ST, BRIDGEPORT, OH 43912-1605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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