Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEO J PRENTICE, O.D.
Active Sole ProprietorLEO J PRENTICE, O.D. is a Optometrist healthcare provider located in WOODRIDGE, Illinois. NPI 1144212028 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WOODRIDGE, IL
Registration Details
- NPI Number
- 1144212028
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2005 (21.026795004905 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
7451 WOODWARD AVESUITE 101WOODRIDGE, IL, 605172665Browse IL providers · Browse ZIP 60517
- Phone
- 6306639112
- Fax
- 6306639228
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in WOODRIDGE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MARK D WILMOTH | O.D. | 1912965823 |
| DR. SRINIVAS JAIRAM | OD | 1326194101 |
| DR. MARIANNA BARSKY | O.D. | 1285764597 |
| UNBREEN YASIN | O.D. | 1932230422 |
| MS. ANN SONIA KALLADANTHYIL | O.D. | 1013243161 |
| THOMAS LEONARD RUIZ | — | 1316597594 |
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.