Whalio Doctors

NPI 1376991117

Jacob B. Leet, OD

Practitioner Optometrist Bentonville, AR

Practice location

Address
2300 SE J St, Bentonville, AR 72712-3776
Phone
(479) 268-3268
Fax
(479) 268-4019

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4042 (AR)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2016017803 (MO)

Registry record

NPI
1376991117
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Jun 2016
Record last updated
4 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.