Dr. David Bryan Leach, M.D
Ophthalmology in Moscow, ID. Individual provider (NPI-1).
NPI number1043379944
StatusActive
Last updated in NPPESMar 3, 2011
Details
- NPI
- 1043379944
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Bryan Leach
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2006
- Last updated
- Mar 3, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | M8044 | ID | Yes |
Practice location
2500 W A StSuite 202
Moscow, ID 83843-6000
Phone 208-882-4662 · Fax 208-883-6557
Mailing address
2500 W A StSuite 202
Moscow, ID 83843-6000
Phone 208-882-4662 · Fax 208-883-6557
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Ophthalmology Physician providers in Moscow, ID
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- Moscow Family Eye Care INC.NPI 1467885558
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All 5 Ophthalmology Physician providers in Moscow · All 836 providers in Moscow
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