ETHAN WALLACE LEYDA

CLEVELAND, OH
NPI1316394711
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OH  6476)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-16
Last Update Date2021-08-18
Business Address
Dr. ETHAN WALLACE LEYDA O.D.
10701 EAST BLVD
CLEVELAND, OH 44106-1702
Phone number: 216-791-3800
Mailing Address
Dr. ETHAN WALLACE LEYDA O.D.
6284 WAYNESBURG RD NW
WAYNESBURG, OH 44688-9410
Phone number: 330-605-9851