Provider Demographics
NPI:1194442541
Name:RACHEL H. LELAND, O.D., PLLC.
Entity type:Organization
Organization Name:RACHEL H. LELAND, O.D., PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:HIGGS
Authorized Official - Last Name:LELAND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:352-409-2982
Mailing Address - Street 1:11312 GRAND PARK AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-3568
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9433 BALM RIVERVIEW RD STE 102
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-5120
Practice Address - Country:US
Practice Address - Phone:352-409-2982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty