Leo W Mack Jr MD PA

NPI #1366619611 in Tyler, Texas

Provider Information

NPI Number: 1366619611
Entity Type: Organization
Organization Name: Leo W Mack Jr MD PA
Primary Specialty: Optometrist
Enumeration Date: May 14, 2008
Last Updated: Dec 9, 2025

Practice Location

Address: 5791 NEW COPELAND RD
City: Tyler
State: Texas
ZIP Code: 75703-3905
Phone: (903) 630-7007

Authorized Official

Name: MS. SHARI LYNN WILLIAMS
Title: ADMINISTRATOR
Phone: (903) 630-7007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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