Individual
DR. J. JEFFREY LEINWAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
100 WARSAW RD, CLINTON, NC 28328-3520
(910) 592-3152
(910) 592-3153
Mailing address
100 WARSAW RD, CLINTON, NC 28328-3520
(910) 592-3152
(910) 592-3153
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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