Albert R Ducharme
Organization Active NPI Optometrist · Leesburg, FL
NPI 1487044129 · NPPES record last updated Feb 3, 2015
Key facts
- NPI
- 1487044129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC1146 (FL)
- Legal business name
- ALBERT R DUCHARME
- Practice address
- 1320 Shelfer St
Leesburg, FL 34748-3929 - Phone
- (352) 728-1700
- Fax
- (352) 728-0057
- NPI assigned
- Feb 3, 2015
- Organization subpart
- No
Authorized official
- Name
- Mrs. Shannon Marie Leafers
- Title
- Manager
- Phone
- (352) 728-1700
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPC1146 | FL | Yes |
Addresses
Primary practice location
1320 Shelfer St
Leesburg, FL 34748-3929
Mailing address
1320 Shelfer St
Leesburg, FL 34748-3929
Phone (352) 728-1700
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2015. 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.