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Ilya M Leyngold, MD
Ophthalmic Plastic and Reconstructive Surgery Physician in Meridian, Idaho
NPI 1407996176

Ilya M Leyngold is a Ophthalmic Plastic and Reconstructive Surgery Physician based in Meridian, ID and is specialized in Ophthalmic Plastic and Reconstructive Surgery. Ilya M Leyngold practices in Meridian, ID and has the professional credentials of MD. The NPI Number for Ilya M Leyngold is 1407996176 and holds a License No. ME112787 (Idaho).

The current practice location address for Ilya M Leyngold is 3015 E Goldstone Dr # 130, Meridian, ID and can be reached out via phone at 208-900-4673 and via fax at 208-266-5033.

Location: 3015 E Goldstone Dr # 130, Meridian, ID, 83642-1549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407996176
Provider Name
Ilya M Leyngold
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3015 E Goldstone Dr # 130, Meridian, ID, 83642-1549
Phone Number
208-900-4673
Fax Number
208-266-5033
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14L01 01 FL BLUE CROSS BLUE SHIELD
005984000 05 FL
20024216 01 ID MEDICARE
institution
Provider Business Practice Location Address Details
Address
3015 E Goldstone Dr # 130
City
Meridian
State
Idaho
Zip
83642-1549
Phone Number
208-900-4673
Fax Number
208-266-5033
person
Provider Business Mailing Address Details
Address
3015 E Goldstone Dr # 130
City
Meridian
State
Idaho
Zip
83642-1549
Phone Number
208-900-4673
Fax Number
208-266-5033
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
ME112787 (Florida)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Ophthalmic Plastic and Reconstructive Surgery
Taxonomy
207WX0200X
License No.
ME112787 (Florida)
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
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