Provider Demographics
NPI:1831945856
Name:LEIGHTON HARPER OD LLC
Entity type:Organization
Organization Name:LEIGHTON HARPER OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEIGHTON
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:812-320-0283
Mailing Address - Street 1:4861 PAR 3 LN
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-8165
Mailing Address - Country:US
Mailing Address - Phone:812-320-0283
Mailing Address - Fax:
Practice Address - Street 1:3401 S US HIGHWAY 41 STE A1
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4154
Practice Address - Country:US
Practice Address - Phone:812-320-0283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty