| Leslie D Thornburg, OD | |
|
W7164 Green Valley Rd, Indianhead Eye Clinic, Spooner, WI 54801-6605 | |
| (715) 635-3127 | |
| (715) 635-3316 |
| Full Name | Leslie D Thornburg |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | W7164 Green Valley Rd, Spooner, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134101397 | NPI | - | NPPES |
| 38561400 | Medicaid | WI | |
| 410028270 | Other | PALMETTO RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1515035 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie D Thornburg, OD Po Box 446, Spooner, WI 54801-0446 Ph: (715) 635-3127 | Leslie D Thornburg, OD W7164 Green Valley Rd, Indianhead Eye Clinic, Spooner, WI 54801-6605 Ph: (715) 635-3127 |
Joshua Eernisse, OD Optometrist Medicare: Medicare Enrolled Practice Location: N5010 Beaverbrook Ave Ste 1, Spooner, WI 54801 Phone: -- | |
Mr. Nathan Karl Eichhorst, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 130 Walnut Street, Spooner, WI 54801 Phone: 715-635-2020 Fax: 715-635-2956 | |
Dr. Dawn Lenee Reed, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: W7164 Green Valley Rd, Spooner, WI 54801 Phone: 715-635-3127 Fax: 715-635-3316 |