MEDICARE: LEAH M WARNER 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	OEG001955	PA

General Provider Information

NPI Number	:	1750601845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH M WARNER OD

Provider Business Mailing Address
First Line	:	88 HARDEES DR
Second Line	:
City	:	MIFFLINBURG
State	:	PA
Zip	:	17844-7062
Country	:	US
Telephone Number	:	570-966-5582
Fax Number	:	570-966-5586

Provider Business Practice Location Address
First Line	:	435 RIVER AVE
Second Line	:
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-3722
Country	:	US
Telephone Number	:	570-326-8070
Fax Number	:	570-326-0396

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

Provider Enumeration Date	:	06/11/2010
Last Update Date	:	02/10/2026

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Directions to “ LEAH M WARNER OD” Practice Location

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