Individual
DR. LEONARD J MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
567 ELM ST, BIDDEFORD, ME 04005-4324
(207) 283-4440
Mailing address
567 ELM ST, BIDDEFORD, ME 04005-4324
(207) 283-4440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 771 TA
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0532073-002ME
CIGNA
ME
01
—
1042298
AETNA
ME
01
—
12155
ANTHEM
ME
05
—
161400000
—
ME
Enumeration date
07/12/2006
Last updated
05/06/2014
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