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General NPI Number Information
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NPI Number | 1205268976
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Entity Type | Organization
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Legal Business Name | GARLEY LEON O D PROFESSIONAL OPTOMETRY CORPORATION
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 100 FIRST ST SUITE 145
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2634
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Country | US
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Telephone | 415-777-2020
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Fax | 415-777-2030
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Provider Business Mailing Address
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Address Line | 100 1ST ST STE 145
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2668
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Country | US
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Telephone | 415-777-2020
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Fax | 415-777-2030
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. GARLEY CHENG LEON
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Credential | O.D.
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Telephone | 415-722-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13394
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License Number State | CA
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