Most Relevant Information
Provider Data
| NPI Number: | 1003410234 |
| Provider Name: | LESLIE A. BACANI OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 34729 |
Most Important Dates
| Enumeration Date: | 11/29/2020 |
| Last Updated: | 11/29/2020 |
Provider Practice Location
2270 CLOVIS AVE
CLOVIS
CA
936123915
Practice Location Phone/Fax
| Phone: | 5597127878 |
| Fax: |
Provider Mailing Location
2615 E POWERS AVE
FRESNO
CA
937205380
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |