Individual provider Active NPI

Tanner Brickey Leigh, OD

  • Optometrist
  • Stanford, KY
National Provider Identifier
1063081032
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2241DT Issued in KY
Practice address
502 E Main St
Stanford, KY 40484-1343
Phone
(859) 279-1994
NPI assigned
Jun 23, 2021
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2241DT KY Primary

Addresses

Primary practice location

502 E Main St
Stanford, KY 40484-1343

Mailing address

502 E Main St
Stanford, KY 40484-1343
Phone (859) 279-1994

Other practice location 1

340 Meijer Way
Lexington, KY 40503-3340
Phone (859) 278-2020

Other practice location 2

4101 Tates Creek Centre Dr Ste 142
Lexington, KY 40517-3068
Phone (859) 245-3332

Other practice location 3

989 Governors Ln Ste 180
Lexington, KY 40513-1174
Phone (859) 554-8265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630003593 KY Practitioner - Optometry 5698176493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ky Doctors of Optometry, PLLCGroup PAC ID 0941108732, 64 clinicians

Practice addresses (Care Compare)

111 Jett Blvd
Suite 100
Frankfort, KY 40601-7778
Phone (502) 695-6310

2312 Sir Barton Way
Suite 170
Lexington, KY 40509-2266
Phone (859) 543-8383

500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672

502 E Main St
Stanford, KY 40484-1343
Phone (606) 661-0094

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2241DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Kentucky Family Vision PLLC Optometrist CurrentSince Nov 6, 2023 Accepting new patients
Kiosk Medicine Kentucky LLC Past Accepting new patients

Locations

502 E Main St
Stanford, KY 40484
Phone (606) 661-0094

Organizations & group practices 3

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1063081032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E MAIN ST",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841343",
            "telephone_number": "859-279-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E MAIN ST",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841343",
            "telephone_number": "859-279-1994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Meijer Way",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405033340",
            "country_code": "US",
            "telephone_number": "859-278-2020",
            "fax_number": "859-277-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 Tates Creek Centre Dr Ste 142",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405173068",
            "country_code": "US",
            "telephone_number": "859-245-3332",
            "fax_number": "859-245-0032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "989 Governors Ln Ste 180",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405131174",
            "country_code": "US",
            "telephone_number": "859-554-8265",
            "fax_number": "859-309-9032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIGH",
        "first_name": "TANNER",
        "middle_name": "BRICKEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2241DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.