Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LESLIE ALLYSON HACKWORTH, O.D.
Active Sole ProprietorDR. LESLIE ALLYSON HACKWORTH, O.D. is a Optometrist healthcare provider located in N/A, Arizona. NPI 1326100298 is currently active in the NPPES registry. Verify at CMS.
Optometrist · N/A, AZ
Registration Details
- NPI Number
- 1326100298
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2006 (19.65629229044 yrs)
- Last Updated
- Aug 2, 2012
- License
-
002586 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
HWY 86, MILE MARKER 74EYE CLINIC, SAN SIMON INDIAN HEALTH CENTERN/A, AZ, 856349716Browse AZ providers · Browse ZIP 85634
- Phone
- 5202350344
- Fax
- 5203627080
- Primary Specialty
-
Optometrist
152W00000X
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.