Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEON MICHAEL FAVEDE, O.D.
ActiveOptometrist · BRIDGEPORT, OH
Registration Details
- NPI Number
- 1851485015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.559127227194 yrs)
- Last Updated
- Dec 5, 2012
- License
-
4452/T1108 (OH)
Practice Information
- Address
-
100 3RD STBRIDGEPORT, OH, 439121605Browse OH providers · Browse ZIP 43912
- Phone
- 7406350814
- Fax
- 7406352521
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BRIDGEPORT, OH
| Name | Credential | NPI |
|---|---|---|
| LEON FRANCIS FAVEDE | O.D. | 1356435481 |
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.