Provider Demographics
NPI:1730393372
Name:ORASZ, LEONARD JOSEPH (RDO)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:JOSEPH
Last Name:ORASZ
Suffix:
Gender:M
Credentials:RDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570-4307
Mailing Address - Country:US
Mailing Address - Phone:508-943-1050
Mailing Address - Fax:508-943-6900
Practice Address - Street 1:31 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-4307
Practice Address - Country:US
Practice Address - Phone:508-943-1050
Practice Address - Fax:508-943-6900
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1445156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1522434Medicaid