MEDICARE: DR. DONALD B LEACH O.D.

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
1	152W00000X	Optometrist	245OP2245	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NM00P054	OTHER	NM	BLUECROSS BLUESHIELD
2	10007839	OTHER	NM	LOVELACE HEALTH, SR
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578561312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD B LEACH O.D.

Provider Business Mailing Address
First Line	:	943 MAIN STREET SW
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-8748
Country	:	US
Telephone Number	:	505-865-4812
Fax Number	:	505-865-3767

Provider Business Practice Location Address
First Line	:	943 MAIN STREET S.W.
Second Line	:	LOS OJOS PROFESSIONAL BLDG
City	:	LOS LUNAS
State	:	NM
Zip	:	87031
Country	:	US
Telephone Number	:	505-865-4812
Fax Number	:	505-865-3767

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	03/28/2008

Similar Medicare Providers

1396234795 — NATASHA LE MORVAN BRUTUS
Practice Location Address:

2600 PALMILLA RD NW STE A
LOS LUNAS, NM
87031-4865

Practice Phone: 505-856-6880
Practice Fax:

1154263283 — JAZMIN AIDE ZUNIGA
Practice Location Address:

1060 ARAGON CT SE
LOS LUNAS, NM
87031-6872

Practice Phone: 505-415-5159
Practice Fax:

1902748858 — JAZMINE DIAZ
Practice Location Address:

1050 HIGHWAY 314 NW
LOS LUNAS, NM
87031-0000

Practice Phone: 505-944-6626
Practice Fax: 505-359-3239

1710982947 — JOHN J PAPE MD
Practice Location Address:

1400 MAIN ST. SW , SUITE K
LOS LUNAS, NM
87031

Practice Phone: 505-916-5912
Practice Fax:

1033115050 — NEW MEXICO PHYSICAL THERAPISTS INC
Practice Location Address:

2211 MAIN ST NE , STE. C
LOS LUNAS, NM
87031

Practice Phone: 505-885-1677
Practice Fax: 505-855-1767

1316931769 — CHRISTINA M GALOS OD
Practice Location Address:

511A HWY 314 SW
LOS LUNAS, NM
87031-9600

Practice Phone: 505-565-3937
Practice Fax: 505-565-3900

Directions to “ DR. DONALD B LEACH O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.