Leo W Mack is a Ophthalmology in Tyler, Texas. Leo W Mack practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Leo W Mack is 1669443370. The last update date is 2022-04-25.
Leo W Mack's current location address is 5791 New Copeland Rd, Tyler, Texas. You can contact this provider via phone number 9036307007 and fax number 9036307072. The mailing address for Leo W Mack is 5791 New Copeland Rd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leo W Mack |
|---|---|
| Address | 5791 New Copeland Rd, Tyler, Texas |
| Phone Number | 9036307007 |
| Fax Number | 9036307072 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669443370 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2022-04-25 |
Provider Mailing Address Detail
| Address | 5791 New Copeland Rd |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757033905 |
| Phone Number | 9036307007 |
| Fax Number | 9036307072 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | E4001 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 135428409 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leo W Mack?
The Leo W Mack has been issued the NPI (National Provider Identifier) 1669443370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Leo W Mack's physical address?
The Leo W Mack is physically located at 5791 New Copeland Rd, in the city of Tyler, TX, with the postal code 757033905.
What is the Leo W Mack's specialty and taxonomy code?
The Leo W Mack's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
When did the Leo W Mack receive its 1669443370?
The Leo W Mack was issued its 1669443370 on 2006-01-30, which is the date when the organization was assigned this unique identifier.
When was the information regarding Leo W Mack most recently updated?
The details pertaining to the Leo W Mack, including its address, specialty, and other relevant information, were last refreshed on 2022-04-25.