Organization
LEYBIN LAKESIDE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONID LEONARD LEYBIN OPTICIAN (OWNER)
(415) 334-2022
Entity
Organization
Contact information
Practice address
2645 OCEAN AVE, SUITE #2, SAN FRANCISCO, CA 94132-1633
(415) 334-2022
Mailing address
2645 OCEAN AVE, SUITE #2, SAN FRANCISCO, CA 94132-1633
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DX003943F
—
CA
Enumeration date
02/08/2007
Last updated
04/20/2008
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