Odell, Leslie E
Odell, Leslie E is an individual health care provider with primary practice located at 781 Far Hills Dr Ste 100 , New Freedom PA 17349-8447. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Odell, Leslie E can be contacted via phone (717) 759-5929.Contact Information
Primary practice address
781 Far Hills Dr Ste 100
New Freedom PA 17349-8447
Phone: (717) 759-5929
Fax: (717) 563-0348
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OEG001304 | Pennsylvania |
Profile Details
NPI number | 1922009745 |
---|---|
LBN Legal business name | Odell, Leslie E |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2005 |
Last updated | Apr 6th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922009745 | NPPES |
Pennsylvania | Other | 1432309 | BLUE SHIELD |
Pennsylvania | Other | 50034412 | BLUE SHIELD |
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