Mervi Hannele Leyendeckers, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008462 Issued in IL

Practice address

926 Broadway St
Quincy, IL 62301-2748

Phone

(217) 222-6888

Fax

(217) 222-6975

NPI assigned

Sep 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1083711642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012748",
            "telephone_number": "217-222-6888",
            "fax_number": "217-222-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012748",
            "telephone_number": "217-222-6888",
            "fax_number": "217-222-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYENDECKERS",
        "first_name": "MERVI",
        "middle_name": "HANNELE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin M Leone, PT
• Herman Gahing Leung, DO
• Darr W Leutz, MD
• Anna Levin, M.D.
• Eric Ley, P.T.
• Kathleen Finley Licavoli, O.T.
• Daniel A Liesen, MD
• Sara Liesen, MS, CF-SLP
• Limitless Medical
• Lincare Inc.

• Optometrist in Quincy, IL
• Providers in Quincy, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.