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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEO W MACK JR MD PA

Active Organization

LEO W MACK JR MD PA is a Optometrist organization located in TYLER, Texas. NPI 1366619611 is currently active in the NPPES registry. Verify at CMS.

Optometrist · TYLER, TX

Registration Details

NPI Number
1366619611
Provider Type
Organization
NPI Issued
May 14, 2008 (18.275008513397 yrs)
Last Updated
Dec 9, 2025
License
007870 (TX)

Practice Information

Address
5791 NEW COPELAND RD
TYLER, TX, 757033905
Browse TX providers · Browse ZIP 75703
Phone
9036307007
Fax
9036307072
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in TYLER, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.