Leon Michael Favede, O.D. Valid NPI

Individual provider · Optometrist · Bridgeport, OH

NPI

1851485015

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

4452/T1108 (OH)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-03

Last updated

2026-03-12