R W Leitner OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT000985 Issued in GA

Legal business name

R W LEITNER OD LLC

Practice address

716-C 16TH Ave East
Cordele, GA 31015

Phone

(229) 273-2376

NPI assigned

Jul 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert William Leitner, O.D.NPI 1841295367

Title

Optometrist

Phone

(229) 888-3298

Specialties & licenses 1

Addresses

Other names 1

• LEITNER EYE CARE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert W Leitner, O.D.

  • Optometrist
  • Cordele, GA
  • NPI 1841295367
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1134474174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 WEXFORD DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212020",
            "telephone_number": "229-888-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716-C 16TH AVE EAST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "31015",
            "telephone_number": "229-273-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R W LEITNER OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "LEITNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "229-888-3298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEITNER EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Cordele, GA
• Providers in Cordele, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.