Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leo W Mack Jr MD PA

Organization Optometrist · NPI 1366619611

Leo W Mack Jr MD PA is an Optometrist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5791 New Copeland Rd
Tyler, TX 75703-3905
Phone: (903) 630-7007
Fax: (903) 630-7072
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 007870 (TX)

Record details

NPI number1366619611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shari Williams — Administrator · (903) 630-7007
Other names Leo W Mack Jr Md Pa; Leo W Mack Jr Md Pa
NPI enumeratedMay 14, 2008
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address5791 New Copeland Rd, Tyler, TX 75703-3905

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