Marty R Leggett Od PA

NPI #1275716433 in Leesburg, Florida

Provider Information

NPI Number: 1275716433
Entity Type: Organization
Organization Name: Marty R Leggett Od PA
Subpart: Yes (part of a larger organization)
Parent Organization: MARTY R. LEGGETT, O.D.
Primary Specialty: Optometrist
Enumeration Date: Dec 11, 2007
Last Updated: Jan 2, 2013

Practice Location

Address: 309 W MAIN ST.
City: Leesburg
State: Florida
ZIP Code: 34748
Phone: (352) 391-2967

Authorized Official

Name: DR. MARTY R LEGGETT, OD
Title: OWNER
Phone: (352) 391-2967

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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