Individual
ROBERT W LEITNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
716 E 16TH AVE STE C, CORDELE, GA 31015-4517
(229) 273-2395
Mailing address
3526 WEXFORD DR, ALBANY, GA 31721-2020
(229) 888-3298
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000985
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695395A
—
GA
Enumeration date
06/21/2005
Last updated
09/29/2022
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