G. Dennis Leaks, OD LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD224 Issued in NV

Legal business name

G. DENNIS LEAKS, OD LTD

Practice address

2120 E Calvada Blvd
Pahrump, NV 89048-5805

Phone

(775) 727-8300

Fax

(775) 727-1221

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. George Dennis Leaks, O.D.

Title

Doctor

Phone

(775) 727-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• George D. Leaks OD Doing business as

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1932452489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E CALVADA BLVD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485805",
            "telephone_number": "775-727-8300",
            "fax_number": "775-727-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E CALVADA BLVD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485805",
            "telephone_number": "775-727-8300",
            "fax_number": "775-727-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. DENNIS LEAKS, OD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "LEAKS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "775-727-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "OD224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002512000",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George D. Leaks OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.