Leon Francis Favede, O.D. Valid NPI

Individual provider · Optometrist · Bridgeport, OH

NPI

1356435481

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

2658/T427 (OH)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-03

Last updated

2012-12-05