Leslie Verner Busby, O.D.
Individual provider Active NPI Optometrist · Alamogordo, NM
NPI 1174591507 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1174591507
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OP2207 (NM)
- Practice address
- 1209 New York Ave
Alamogordo, NM 88310-6727 - Phone
- (575) 437-9326
- Fax
- (575) 434-6995
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP2207 | NM | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP2207 | NM | Yes |
Addresses
Primary practice location
1209 New York Ave
Alamogordo, NM 88310-6727
Mailing address
1209 New York Ave
Alamogordo, NM 88310-6727
Phone (575) 437-9326
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.