Leach, Corey Thomas
Leach, Corey Thomas is an individual health care provider with primary practice located at 2826 E Baseline Rd # 101 , Mesa AZ 85204-7282. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Leach, Corey Thomas can be contacted via phone (480) 626-8925.Contact Information
Primary practice address
2826 E Baseline Rd # 101
Mesa AZ 85204-7282
Phone: (480) 626-8925
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2209DT | Kentucky |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 2209DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT-002774 | Arizona |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2209DT | Kentucky |
Profile Details
| NPI number | 1427658921 |
|---|---|
| LBN Legal business name | Leach, Corey Thomas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2020 |
| Last updated | Apr 4th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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