MEDICARE: TIMOTHY JOSEPH LEACH 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
1	152W00000X	Optometrist	1241-391T	LA
2	152W00000X	Optometrist	7174TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396746491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY JOSEPH LEACH OD

Provider Business Mailing Address
First Line	:	3200 SEVERN AVE
Second Line	:	STE 102
City	:	METAIRIE
State	:	LA
Zip	:	70002-4793
Country	:	US
Telephone Number	:	504-887-2020
Fax Number	:	504-887-7698

Provider Business Practice Location Address
First Line	:	433 SPORTSPLEX DR STE 100
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-5359
Country	:	US
Telephone Number	:	512-858-0020
Fax Number	:

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	09/21/2021

Similar Medicare Providers

1245240688 — DR. LISA RENEE CANTRELL O.D.
Practice Location Address:

433 SPORTSPLEX DR STE 100
DRIPPING SPRINGS, TX
78620-5359

Practice Phone: 512-858-0020
Practice Fax: 512-858-2720

1336239193 — DR. JOSEPH ROBERT MARTIN D.C.
Practice Location Address:

433 SPORTSPLEX DR STE 200
DRIPPING SPRINGS, TX
78620-5359

Practice Phone: 800-404-6050
Practice Fax: 866-313-3397

1407904899 — IAN LEE JONES III D.C.
Practice Location Address:

433 SPORTSPLEX DR STE 200
DRIPPING SPRINGS, TX
78620-5359

Practice Phone: 800-404-6050
Practice Fax: 866-313-3397

1689836678 — DR. KYLE L FLORIO OD
Practice Location Address:

433 SPORTSPLEX DR STE 100
DRIPPING SPRINGS, TX
78620-5359

Practice Phone: 512-858-0020
Practice Fax: 512-858-2720

1093090003 — DR. CONNEALY ANN CUNNINGTON D.C.
Practice Location Address:

433 SPORTSPLEX DR STE 200
DRIPPING SPRINGS, TX
78620-5359

Practice Phone: 800-404-6050
Practice Fax: 866-313-3397

1568079838 — MED SOUTHWEST, PLLC
Practice Location Address:

433 SPORTSPLEX DR STE 100
DRIPPING SPRINGS, TX
78620-5359

Practice Phone: 512-858-0020
Practice Fax: 512-858-2720

Directions to “ TIMOTHY JOSEPH LEACH OD” 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.