DONALD B. LEACH, O.D., P.C.
Managed Care Organizations at Main St, Los Lunas, NM

License number
New Mexico 245/OP2245
Category
Optometry
Type
Optometrist
License number
New Mexico 245/OP2245
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: DR. DONALD B LEACH O.D.
Title: PRESIDENT/DOCTOR
Phone: (505) 865-4812
Address
Address
943 Main St SW, Los Lunas, NM 87031
National Provider ID: 1073784351
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DONALD B. LEACH, O.D., PC

Los Lunas, NM

Industry:
Optometrist Office
Doing business as:
Donald B Leach OD PC<br>Leach, Donald B
Registration:
Jul 1, 1982
Phone:
(505) 865-4812 (Phone)
Addresses:
943 Main St Sw  , Los Lunas, NM 87031 (Mailing)
943 Main St SW, Los Lunas, NM 87031
PO Box 129, Los Lunas, NM 87031
State ID:
1147149
Business type:
Domestic Professional Corporation
Office Managers:
Leach Janice F (Vice President),Donald R. Leach (President, Medical Doctor, Od),Pauline Anaya Office Manager, inactive
Agent:
Donald B Leach,221 Wittwer Ct NW, Los Lunas, NM 87031 (Physical)

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