| Jennie Leonard, OD | |
|
1320 W Main St Ste 3, Waterbury, CT 06708-3129 | |
| (203) 755-4941 | |
| Not Available |
| Full Name | Jennie Leonard |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1320 W Main St Ste 3, Waterbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093533556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3371 (Connecticut) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Provider Name | Villacis Eyecare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437790151 PECOS PAC ID: 3577895028 Enrollment ID: O20191101001474 |
| Provider Name | Villacis Eyecare Ii, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649802620 PECOS PAC ID: 4789012444 Enrollment ID: O20200312001126 |
| Provider Name | Villacis Eyecare Iv, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962170035 PECOS PAC ID: 3678971025 Enrollment ID: O20211015000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Leonard, OD 1320 W Main St Ste 3, Waterbury, CT 06708-3129 Ph: (203) 577-9202 | Jennie Leonard, OD 1320 W Main St Ste 3, Waterbury, CT 06708-3129 Ph: (203) 755-4941 |
Dr. Dana Lynn Shepard, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3600 E Main St, Waterbury, CT 06705 Phone: 203-596-0406 | |
Dana L Shepard Od & Associates Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3600 E Main St, Waterbury, CT 06705 Phone: 203-596-0406 | |
Dr Binh Moore And Associates Llc Optometrist Medicare: Medicare Enrolled Practice Location: 425 Union St, Waterbury, CT 06706 Phone: 203-757-7120 | |
Dr. Audrey S Fung, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3600 E Main St, Waterbury, CT 06705 Phone: 203-596-0406 Fax: 203-756-7316 | |
Dr. John Joseph Pulaski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 625 Wolcott St, Waterbury, CT 06705 Phone: 203-754-8339 Fax: 203-753-9030 | |
Dr. Frank Restivo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 495 Union St Ste 1082, Waterbury, CT 06706 Phone: 203-591-8353 |