Leo W Mack Jr. is a Tyler, Texas based male Ophthalmologist with 55 years of experience in Ophthalmology. He completed his graduation from Loyola University Of Chicago, Stritch School Of Medicine in 1969. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Leo W Mack Jr. is E4001 for Ophthalmology in Texas.
Leo W Mack Jr. is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Leo W Mack Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Ophthalmology |
| Credentials: | M.D. |
| Experience: | 55+ years |
| Medical School Attended: | Loyola University Of Chicago, Stritch School Of Medicine |
| Graduation Year: | 1969 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5791 New Copeland Rd, Tyler,
Texas, 75703-3905 |
| Phone: | 903-630-7007 |
| Fax: | 903-630-7072 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7214071612 |
| Enrollment ID: | I20100223000888 |
| NPI Number: | 1669443370 |
| NPI Enumeration Date: | 30 Jan, 2006 |
| NPI Last Update On: | 25 Apr, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Leo W Mack Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| E4001 | Ophthalmology | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Leo W Mack Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 135428409 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5791 New Copeland Rd,
Tyler, Texas |
| Zip: | 75703-3905 |
| Phone Number: | 903-630-7007 |
| Fax Number: | 903-630-7072 |
Patients can reach Leo W Mack Jr. at
5791 New Copeland Rd, Tyler, Texas or can
call to book an appointment on 903-630-7007. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.