Individual
DR. BENJAMIN HUGHSTON LEISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9565 S 700 E STE 101, SANDY, UT 84070-3482
(801) 572-3937
Mailing address
9565 S 700 E STE 101, SANDY, UT 84070-3482
(385) 202-3937
(385) 212-2484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
76555999934
UT
152WC0802X
Corneal and Contact Management Optometrist
76555999934
UT
152WL0500X
Low Vision Rehabilitation Optometrist
76555999934
UT
152WP0200X
Pediatric Optometrist
76555999934
UT
152WS0006X
Sports Vision Optometrist
76555999934
UT
152WV0400X
Vision Therapy Optometrist
76555999934
UT
152WX0102X
Occupational Vision Optometrist
76555999934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010223
—
IL
05
—
1942438015
—
UT
Enumeration date
06/29/2009
Last updated
03/01/2024
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