| Doctor Name: | MS. CYNTHIA T. LEGER |
| NPI Number: | 1386764223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RDO |
| License Number: | SL946 |
| Business Practice Address: | 900 Price St Pismo Beach, CA - 934492534 |
| Business Phone Number: | 8057732324 |
| Business Fax Number: | 8057732327 |
| Mailing Address: | 900 Price St, PISMO BEACH |
| State: | CA |
| Postal Code: | 934492534 |
| Phone Number: | 8057732324 |
| Fax Number: | 8057732327 |
| NPI Enumeration Date: | 03/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | SL946 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |