Individual provider Active NPI

Andrew Mark Leto, OD

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1093387144
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1938-874AT Issued in LA
Practice address
550 Connell Park LN
Baton Rouge, LA 70806-6539
Phone
(225) 490-5363
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1938-874AT LA Primary

Addresses

Primary practice location

550 Connell Park LN
Baton Rouge, LA 70806-6539

Mailing address

550 Connell Park LN
Baton Rouge, LA 70806-6539
Phone (225) 490-5363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20210802003106 LA Practitioner - Optometry 8729482591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1938-874ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Eye Center Optometrist Current Accepting new patients
Williamson Eye Center Optometrist Current Accepting new patients
Williamson Eye Center Current Accepting new patients
Williamson Eye Center Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Williamson Eye Center CurrentSince Aug 1, 2021 Accepting new patients
Williamson Eye Center Optometrist Current Accepting new patients

Locations

550 Connell Park Ln
Baton Rouge, LA 70806
Phone (225) 924-2020

9001 Summa Ave
Ste 245
Baton Rouge, LA 70809
Phone (225) 490-5299

9001 Summa Ave
Fl 2
Baton Rouge, LA 70809
Phone (225) 274-3937

9001 Summa Ave
Baton Rouge, LA 70809

2290 S Range Ave
Denham Springs, LA 70726
Phone (225) 665-2019

2308 S Burnside Ave
Gonzales, LA 70737
Phone (225) 644-7525

230 Roberts Dr
Ste J
New Roads, LA 70760
Phone (225) 618-0088

10299 Gould Dr
St Francisvle, LA 70775
Phone (225) 307-2020

5233 Main St
Ste A
Zachary, LA 70791
Phone (225) 654-0090

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: aml@williamsoneye.emadirect.md

Organizations & group practices 6

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1093387144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CONNELL PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-490-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CONNELL PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-490-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETO",
        "first_name": "ANDREW",
        "middle_name": "MARK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1938-874AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.