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NPI Code Detail

MEDICARE: LEANDRO A. BARCACEL, OD

MEDICARE: LEANDRO A. BARCACEL, OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist03262TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103262TGOTHERTXTEXAS OPTOMETRY LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487829297
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEANDRO A. BARCACEL, OD
Provider Business Mailing Address
First Line : PO BOX 230208
Second Line :
City : HOUSTON
State : TX
Zip : 77223-0208
Country : US
Telephone Number : 713-923-2890
Fax Number : 713-923-2075
Provider Business Practice Location Address
First Line : 7103 LAWNDALE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77023-4248
Country : US
Telephone Number : 713-923-2890
Fax Number : 713-923-2075
Authorized Official
Title or Position : OWMER
Name : DR. LEANDRO A BARCACEL
Credential : O.D.
Telephone Number : 713-923-2890
Provider Enumeration Date : 04/23/2008
Last Update Date : 04/05/2015

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Directions to “LEANDRO A. BARCACEL, OD ” Practice Location

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