Leon Michael Favede in Bridgeport - Optometrist
Leon Michael Favede - NPI 1851485015
Leon Michael Favede is a Optometrist in Bridgeport, Ohio. Leon Michael Favede practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Leon Michael Favede is 1851485015. The last update date is 2012-12-05.
Leon Michael Favede's current location address is 100 3rd St, Bridgeport, Ohio. You can contact this provider via phone number 7406350814 and fax number 7406352521. The mailing address for Leon Michael Favede is 100 3rd St, Bridgeport, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leon Michael Favede |
|---|---|
| Address | 100 3rd St, Bridgeport, Ohio |
| Phone Number | 7406350814 |
| Fax Number | 7406352521 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1851485015 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2012-12-05 |
Provider Mailing Address Detail
| Address | 100 3rd St |
|---|---|
| City | Bridgeport |
| State | Ohio (OH) |
| Post Code | 439121605 |
| Phone Number | 7406350814 |
| Fax Number | 7406352521 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4452/T1108 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 979615 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Leon Michael Favede by the Centers for Medicare & Medicaid Services (CMS)?
The Leon Michael Favede has been assigned the NPI (National Provider Identifier) 1851485015. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Leon Michael Favede?
The Leon Michael Favede is physically situated at 100 3Rd St, in the city of Bridgeport, state of OH, with the postal code 439121605.
What is Leon Michael Favede's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Leon Michael Favede is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851485015 to Leon Michael Favede?
The Leon Michael Favede received its 1851485015 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information pertaining to Leon Michael Favede most recently updated or revised?
The details related to Leon Michael Favede, including its address, specialty, and other relevant information, were last updated or revised on 2012-12-05.