Leslie D Thornburg is a Spooner, Wisconsin based male Optometrist who is specialized in Optometry. Active license number of Leslie D Thornburg is 1515035 for Optometry in Wisconsin. Leslie D Thornburg examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Leslie D Thornburg 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:
Optometry
Credentials:
OD
Gender:
Male
Practice Address:
W7164 Green Valley Rd, Indianhead Eye Clinic, Spooner, Wisconsin, 54801-6605
Phone:
715-635-3127
Fax:
715-635-3316
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.
NPI Number:
1134101397
NPI Enumeration Date:
15 Nov, 2005
NPI Last Update On:
24 Jan, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Leslie D Thornburg are as mentioned below.
License Number
Specialization
State
Status
1515035
Optometry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Leslie D Thornburg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38561400
Medicaid
Wisconsin
410028270
Other
PALMETTO RR MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 446, Spooner, Wisconsin
Zip:
54801-0446
Phone Number:
715-635-3127
Fax Number:
715-635-3316
Patients can reach Leslie D Thornburg at W7164 Green Valley Rd, Indianhead Eye Clinic, Spooner, Wisconsin or can call to book an appointment on 715-635-3127. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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