IndividualActive
Ilya Leyngold, MD
NPI 1407996176 · Ophthalmic Plastic and Reconstructive Surgery Physician · Meridian, ID
Provider details
- NPI number
- 1407996176
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-15568 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3015 E Goldstone Dr # 130
Meridian, ID 83642-1549
Phone: (208) 900-4673
Fax: (208) 266-5033
Approximate (ZIP-level) locationGet directions
Mailing address
3015 E Goldstone Dr Ste 130
Meridian, ID 83642-1224
Additional practice locations (1)
- 3475 Erwin RdDurham, NC 27705-0005Phone: (919) 684-4224
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2026-04-08
- Certified
- 2026-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.