Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE D THORNBURG, OD
ActiveLESLIE D THORNBURG, OD is a Optometrist healthcare provider located in SPOONER, Wisconsin. NPI 1134101397 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SPOONER, WI
Registration Details
- NPI Number
- 1134101397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2005 (20.72133932904 yrs)
- Last Updated
- Jan 24, 2014
- License
-
1515035 (WI)
Practice Information
- Address
-
W7164 GREEN VALLEY RDINDIANHEAD EYE CLINICSPOONER, WI, 548016605Browse WI providers · Browse ZIP 54801
- Phone
- 7156353127
- Fax
- 7156353316
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SPOONER, WI
| Name | Credential | NPI |
|---|---|---|
| MR. NATHAN KARL EICHHORST | OD | 1104894153 |
| DR. DAWN LENEE REED | O.D. | 1740337948 |
| JOSHUA EERNISSE | OD | 1073361085 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.