Dr Leslie Allyson Hackworth, OD is a
Optometrist based in N/a, Arizona. Dr Leslie Allyson Hackworth is licensed to practice in Connecticut (license number 002586) and her current practice location is
Hwy 86, Mile Marker 74, Eye Clinic, San Simon Indian Health Center, N/a, Arizona. She can be reached at her office (for appointments etc.) via phone at
(520) 235-0344.
NPI number for Dr Leslie Allyson Hackworth is 1326100298 and her current mailing address is Hc01 Box 8150, San Simon Indian Health Center, Sells, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326100298.
Healthcare Provider's Profile
Full Name | Dr Leslie Allyson Hackworth |
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Gender | Female |
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Speciality | Optometrist |
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Location | Hwy 86, Mile Marker 74, N/a, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326100298
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 08/02/2012
Medical Identifiers
Medical identifiers for Dr Leslie Allyson Hackworth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326100298 | NPI | - | NPPES |
004237097 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 002586 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leslie Allyson Hackworth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Leslie Allyson Hackworth, OD Hc01 Box 8150, San Simon Indian Health Center, Sells, AZ 85634-9737 Ph: (520) 235-0344 | Dr Leslie Allyson Hackworth, OD Hwy 86, Mile Marker 74, Eye Clinic, San Simon Indian Health Center, N/a, AZ 85634-9716 Ph: (520) 235-0344 |
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