Avery Alexander Leysen, OD

NPI #1629644638 in Midlothian, Virginia

Provider Information

NPI Number: 1629644638
Entity Type: Individual
Name: Avery Alexander Leysen, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 1, 2021
Last Updated: Jun 1, 2021

Practice Location

Address: 611 WATKINS CENTRE PKWY STE 100
City: Midlothian
State: Virginia
ZIP Code: 23114-4404
Phone: (804) 287-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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