IndividualActive
Leanne Liddicoat, O.D.
NPI 1154413797 · Vision Therapy Optometrist · Roseville, CA
Provider details
- NPI number
- 1154413797
- Entity type
- Individual
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 11076T (CA)
Practice location
114 N Sunrise Ave
Suite C2
Roseville, CA 95661-2916
Phone: (916) 786-2212
Fax: (916) 786-2393
Mailing address
114 N Sunrise Ave
Roseville, CA 95661-2916
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2010-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.