Individual
DR. J. JEFFREY LEINWAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0953
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905700002
PALMETTO SUPPLIER NUMBER
NC
01
—
0912L
BLUE CROSS BLUE SHIELD
NC
01
—
10530
SPECTERA
NC
01
—
17155
AVESIS
NC
01
—
2256219
UNITED HEALTHCARE
NC
01
—
561215293
CIGNA
NC
05
—
890912L
—
NC
01
—
NC0953
SUPERIOR VISION
NC
Enumeration date
06/09/2005
Last updated
05/19/2009
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