Leslie B Cunningham, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

21400 Issued in TN

Practice address

1124 E Weisgarber Rd
Ste 100
Knoxville, TN 37909

Phone

(865) 584-0905

Fax

(865) 584-3892

NPI assigned

Jun 10, 2005

Last updated

Aug 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Campbell Cunningham Taylor PC

  • Optometrist
  • Knoxville, TN
  • NPI 1407850944
  Medicare reassignment NPD Authorized official
• Campbell Cunningham Taylor PC

  dba Campbell, Cunningham, & Taylor Optical Dispensary

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1902008162
  NPD
• Campbell Cunningham & Taylor, PC

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1811224348
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1073517728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E WEISGARBER RD STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092686",
            "telephone_number": "865-584-0905",
            "fax_number": "865-584-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E WEISGARBER RD",
            "address_2": "STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37909",
            "telephone_number": "865-584-0905",
            "fax_number": "865-584-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "LESLIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "21400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0645010002",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Cunningham
• Eric Cunningham
• Jada Cunningham
• James M Cunningham, CRNA
• Kelley Ramey Cunningham, PA-C
• Melissa Kay Cunningham
• Melissa McGrady Cunningham, MHS, OTR/L, CHT
• Meredith Cunningham, MS, CCC-SLP
• Rose Anna Cunningham, FNP
• Stephanie Nicole Cunningham, O.D.

• Ophthalmology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.