Active NPI
Gregory S. Leet, O.D.
- Optometrist
- Cape Girardeau, MO
National Provider Identifier
1023182540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02586
- Practice address
- 3230 Blattner Dr.
Cape Girardeau, MO 63703-6380 - Phone
- (573) 334-2020
- Fax
- (573) 334-2915
- NPI assigned
- Nov 17, 2006
- Last updated
- Sep 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02586 | MO | Primary |
| Optometrist | 152W00000X | 6483T | TX |
Addresses
Primary practice location
3230 Blattner Dr.
Cape Girardeau, MO 63703-6380
Mailing address
3230 Blattner Dr.
Cape Girardeau, MO 63703-6380
Phone (573) 334-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312069602 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Vision Partners PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1023182540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 BLATTNER DR.",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036380",
"telephone_number": "573-334-2020",
"fax_number": "573-334-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 BLATTNER DR.",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036380",
"telephone_number": "573-334-2020",
"fax_number": "573-334-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEET",
"first_name": "GREGORY",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02586",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6483T",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "312069602",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.