Individual provider Active NPI

Leanne T Labriola, DO

  • Ophthalmology Physician
  • Urbana, IL
National Provider Identifier
1063603793
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036133509 Issued in IL
Practice address
611 W Park St
Urbana, IL 61801-2500
Phone
(217) 383-3150
Fax
(217) 383-4845
NPI assigned
Aug 7, 2007
Last updated
Dec 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS015642 PA
Ophthalmology Physician 207W00000X 036133509 IL Primary

Addresses

Primary practice location

611 W Park St
Urbana, IL 61801-2500

Mailing address

PO Box 6002
Urbana, IL 61803-6002
Phone (217) 326-8630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000337 PA Practitioner - Ophthalmology 0446436950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sewickley Eye Center, LTDGroup PAC ID 0345137105, 10 clinicians

Practice addresses (Care Compare)

400 Broad St
Suite 2020
Sewickley, PA 15143-1500
Phone (412) 741-4610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS015642PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sewickley Eye Center, LTD Ophthalmology CurrentSince Feb 17, 2020 Accepting new patients
E. Ronald Salvitti, M.D., Inc. Ophthalmology CurrentSince Jun 1, 2020 Accepting new patients
E. Ronald Salvitti, M.D., Inc. CurrentSince Jun 1, 2020 Accepting new patients
Gibson Community Hospital Association Ophthalmology Past Accepting new patients

Locations

846 California Ave
Avalon, PA 15202
Phone (412) 741-4610

27 Heckel Rd
Ste 211
Mc Kees Rocks, PA 15136
Phone (412) 777-4300

95 Golfview Dr
#A
Monaca, PA 15061
Phone (724) 770-9000

400 Broad St
Ste 2020
Sewickley, PA 15143
Phone (412) 741-4610

750 E Beau St
Washington, PA 15301
Phone (724) 228-2982

Organizations & group practices 4

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1063603793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6002",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618036002",
            "telephone_number": "217-326-8630",
            "fax_number": "412-647-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-3150",
            "fax_number": "217-383-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRIOLA",
        "first_name": "LEANNE",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OS015642",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036133509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.