Trimble, Leslie Rene

Trimble, Leslie Rene is an individual health care provider with primary practice located at 435 W Broadway St , Muskogee OK 74401-6614. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Trimble, Leslie Rene can be contacted via phone (918) 687-4459.

Contact Information

Primary practice address
435 W Broadway St Muskogee OK 74401-6614
Fax: (918) 687-0238
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2289 Oklahoma

Profile Details

NPI number 1992773345
LBN Legal business name Trimble, Leslie Rene
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 9th, 2007 - about 18 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 1992773345 NPPES
Oklahoma MEDICAID M1419063243

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