ERIC JOHN LEAVITT

SPRINGFIELD, IL
NPI1942462486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046010313)
Enumeration Date2008-06-26
Last Update Date2012-04-05
Business Address
Dr. ERIC JOHN LEAVITT O.D.
3055 W WABASH
SPRINGFIELD, IL 62704-6414
Phone number: 217-793-2273
Mailing Address
Dr. ERIC JOHN LEAVITT O.D.
8309 N KNOXVILLE AVE
PEORIA, IL 61615-2170
Phone number: 309-693-9540