| NPI | 1952435133 |
|---|---|
| Doing Business As | LEADINGHAM VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | GREG N LEADINGHAM Optometrist 505-622-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2013-10-21 |