Leech, Thomas Gene

Leech, Thomas Gene is an individual health care provider with primary practice located at 2282 Nw Troost St Suite 104, Roseburg OR 97470-6071. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Leech, Thomas Gene can be contacted via phone (541) 672-7428.

Contact Information

Primary practice address
2282 Nw Troost St Suite 104 Roseburg OR 97470-6071
Phone: (541) 672-7428
Fax: (541) 672-7430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1490T Oregon

Profile Details

NPI number 1952378945
LBN Legal business name Leech, Thomas Gene
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1952378945 NPPES
Oregon MEDICAID 264523

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