Leonard R Pack (NPI# 1568573574, PAC ID# 0446206619) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1568573574 |
| PAC ID by PECOS | 0446206619 |
| Professional Enrollment ID | I20170303000606 |
| Full Name | Leonard R Pack |
| Address |
1217 Oak Knoll Dr Fort Worth TX 76117-5505 |
| Phone Number | 8178316141 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1972 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1217 Oak Knoll Dr, Fort Worth, TX 76117-5505 | 8178316141 |
| Street Address |
1217 OAK KNOLL DR |
| City | FORT WORTH |
| State | TX |
| Zip | 76117-5505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisha Poonawala | Optometry | 1217 Oak Knoll Dr, Fort Worth, TX 76117-5505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith D Harbour | Family Medicine | 3233 Denton Hwy, Haltom City, TX 76117-3718 | |
| Suchita D Reddy | Family Medicine | T and R Clinic A Professional Association | 2919 Markum Dr, Fort Worth, TX 76117-4004 |
| Rajneesh D Reddy | Family Medicine | T and R Clinic A Professional Association | 2919 Markum Dr, Fort Worth, TX 76117-4004 |
| Joseph G Carter | Family Medicine | T and R Clinic A Professional Association | 2919 Markum Dr, Fort Worth, TX 76117-4004 |
| Beena M Trivedi | Family Medicine | T and R Clinic A Professional Association | 2919 Markum Dr, Fort Worth, TX 76117-4004 |
| Anum Ali | Nurse Practitioner | T and R Clinic A Professional Association | 2919 Markum Dr, Fort Worth, TX 76117-4004 |
| Stephen J Karten | Psychologist, Clinical | 4304 Airport Fwy 110, Fort Worth, TX 76117-6257 |
| City | FORT WORTH |
| Zip Code | 76117 |
| Specialty | OPTOMETRY |
| City + Specialty | FORT WORTH + OPTOMETRY |
Please comment or provide details below to improve the information on Leonard R Pack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.