Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LESLIE M FUNKHOUSER, OPTICIAN
Active Sole ProprietorMR. LESLIE M FUNKHOUSER, OPTICIAN is a Optician, Dispensing healthcare provider located in ATHENS, Texas. NPI 1548287196 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · ATHENS, TX
Registration Details
- NPI Number
- 1548287196
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.039255851535 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1260 S PALESTINE STATHENS, TX, 757513619Browse TX providers · Browse ZIP 75751
- Phone
- 9036771985
- Fax
- 9036772099
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.