Individual
DR. JOSEPH EARL LECLERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
715 MAIN ST, TELL CITY, IN 47586-1705
(812) 547-3396
(812) 547-5272
Mailing address
PO BOX 457, TELL CITY, IN 47586-0457
(812) 547-3396
(812) 547-5272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001780B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100203090A
—
IN
01
—
1285910001
DMAC
IN
Enumeration date
02/02/2007
Last updated
09/21/2016
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