National Provider Identifier

Jenna Nicole Leber, O.D.

Jenna Nicole Leber, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Buffalo, NY and a listed phone number of (631) 261-4400.

NPI 1518213420Buffalo, NYOptometrist

Profile Overview

NPI
1518213420
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
July 29, 2012
Last Updated
October 05, 2022

Practice Location

  • 3495 Bailey Ave
  • Eye Clinic - 6D
  • Buffalo, NY 14215

Phone: (631) 261-4400

Specialties

  • Optometrist (152W00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1518213420
Entity Type
Individual
Last Name
Leber
First Name
Jenna
Middle Name
Nicole
Credential
O.D.
Mailing Street Address
3495 Bailey Ave
Mailing Address Line 2
Eye Clinic - 6D
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215
Mailing Country
US
Practice Street Address
3495 Bailey Ave
Practice Address Line 2
Eye Clinic - 6D
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215
Practice Country
US
Practice Phone
(631) 261-4400
Enumeration Date
July 29, 2012
Last Updated
October 05, 2022
Sex
Female
Sole Proprietor
No
Certification Date
October 05, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X), Student in an Organized Health Care Education/Training Program (390200000X)