Individual provider Active NPI

William E Leadingham, OD

  • Vision Therapy Optometrist
  • Ashland, KY
National Provider Identifier
1073505814
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
748-DT Issued in KY
Practice address
1330 Carter Ave
Ste 3
Ashland, KY 41101-7544
Phone
(606) 329-1258
Fax
(606) 329-1258
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 748-DT KY
Sports Vision Optometrist 152WS0006X 748-DT KY
Vision Therapy Optometrist 152WV0400X 748-DT KY Primary

Addresses

Primary practice location

1330 Carter Ave
Ste 3
Ashland, KY 41101-7544

Mailing address

PO Box 2005
Ste 3
Ashland, KY 41105-2005
Phone (606) 329-8672

Other identifiers 10

IdentifierTypeStateIssuer
2202261OtherUNITED HEALTHCARE
0149565-001OtherWVMEDICAID
KY00748OtherVISION BENEFITS OF AMER.
181142OtherNATIONAL VISION ADMIN.
P00058622OtherRAILROAD MEDICARE
DA4299OtherRAILROAD MEDICARE (GROUP)
4904360001OtherOMERC
000000305764OtherKYANTHEM BLUECROSS
0005282086OtherAETNA
77903664MedicaidKY

Other names 1

  • Neuro Visual Rehabilitation Center Other name

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
I20040429001137 KY Practitioner - OptometryPractitioner - Other (Physician) 6305833310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leadingham Eye Care Center - AshlandGroup PAC ID 8426229030, 2 clinicians

Practice addresses (Care Compare)

1330 Carter Ave
Suite 1
Ashland, KY 41101-7544
Phone (606) 325-9659

Neuro Visual Rehabilitation Ctr
1330 Carter Ave Suite 3
Ashland, KY 41101-7544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
748-DTKYMDSports Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Leadingham Eye Care Center - Ashland Optometrist CurrentSince Aug 12, 2011 Accepting new patients
William E Leadingham, OD, PSC Optometrist CurrentSince Oct 1, 2003 Accepting new patients

Locations

1330 Carter Ave
Ashland, KY 41101
Phone (606) 325-9659

1330 Carter Ave
Ste 1
Ashland, KY 41101
Phone (606) 325-9659

1330 Carter Ave
Ste 3
Ashland, KY 41101
Phone (606) 325-8672

1330 Carter Ave
#O
Ashland, KY 41101

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1073505814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2005",
            "address_2": "STE 3",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052005",
            "telephone_number": "606-329-8672",
            "fax_number": "606-329-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CARTER AVE",
            "address_2": "STE 3",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017544",
            "telephone_number": "606-329-1258",
            "fax_number": "606-329-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADINGHAM",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "748-DT",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "KY",
            "license": "748-DT",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "KY",
            "license": "748-DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2202261",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0149565-001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMER.",
            "identifier": "KY00748",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMIN.",
            "identifier": "181142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00058622",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE (GROUP)",
            "identifier": "DA4299",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMERC",
            "identifier": "4904360001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS",
            "identifier": "000000305764",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005282086",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77903664",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEURO VISUAL",
            "last_name": "CENTER",
            "middle_name": "REHABILITATION",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.