Leber, Dan

Leber, Dan is an sole proprietor health care provider with primary practice located at 20542 N Lake Pleasant Rd Suite 107, Peoria AZ 85382-9749. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Leber, Dan can be contacted via phone (632) 572-9090.

Contact Information

Primary practice address
20542 N Lake Pleasant Rd Suite 107 Peoria AZ 85382-9749
Fax: (623) 572-9797
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 775 Arizona

Profile Details

NPI number 1699745851
LBN Legal business name Leber, Dan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Dec 7th, 2015 - about 11 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699745851 NPPES
Arizona MEDICAID 173708

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