Individual provider Active NPI

Leonard B Nelson, M.D.

  • Ophthalmology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1093789679
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD025037E Issued in PA
Practice address
100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone
(484) 434-2700
Fax
(610) 660-0419
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 25MA04991900 NJ
Ophthalmology Physician 207W00000X MD025037E PA Primary

Addresses

Primary practice location

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108

Mailing address

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700

Other identifiers 2

IdentifierTypeStateIssuer
000790768-0001MedicaidPA
000790768-0003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040818000762 PA Practitioner - Ophthalmology 7113990003 Reassigns benefits to 4 organizations
I20220531002832 DE Practitioner - Ophthalmology 7113990003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Partners PCGroup PAC ID 7416368667, 13 clinicians
Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians
Lehigh Valley Eye Center, P.C.Group PAC ID 3072593508, 51 clinicians

Practice addresses (Care Compare)

100 Presidential Blvd
Suite 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700

840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041

9126 Blue Grass Rd
Philadelphia, PA 19114-3202
Phone (215) 552-8331

Hospital & facility affiliations

  • Wills Eye Hospital Hospital, Philadelphia, PA, CCN 390331

Merit-based Incentive Payment System (MIPS)

Final score
82.68 of 100Reported as group
Quality
86.54
Promoting interoperability
94
Improvement activities
40
Cost
60.72

Merit-based Incentive Payment System (MIPS)

Final score
82.11 of 100Reported as group
Quality
78.1
Promoting interoperability
89
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
80.85
Promoting interoperability
100
Improvement activities
40
Cost
76.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04991900NJMDOphthalmology Physician
MD025037EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Feb 5, 2011 Accepting new patients
Ophthalmic Partners PC Ophthalmology CurrentSince Jan 21, 2021 Accepting new patients
Center for Advanced Eye Care Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Lehigh Valley Eye Center, P.C. CurrentSince Aug 20, 2021 Accepting new patients
Edol Optical Inc PastSince Mar 1, 2010 Accepting new patients
Vantage Eyecare, LLC Past Accepting new patients

Locations

5301 Limestone Rd
Ste 122
Wilmington, DE 19808
Phone (302) 485-0699

1500 Tilton Rd
Northfield, NJ 08225
Phone (484) 434-2700

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

400 N 17th St
Ste 101
Allentown, PA 18104
Phone (215) 433-0450

100 Presidential Blvd
Ste 200
Bala Cynwyd, PA 19004
Phone (484) 434-2700

3535 High Point Blvd
Ste 800
Bethlehem, PA 18017
Phone (610) 867-9900

360 Middletown Blvd
Ste 402
Langhorne, PA 19047
Phone (215) 757-5200

319 W State St
Media, PA 19063
Phone (610) 566-1227

840 Walnut St
Ste 920
Philadelphia, PA 19107
Phone (215) 928-3180

840 Walnut St
Ste 1210
Philadelphia, PA 19107
Phone (215) 928-3240

8025 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 423-5154

9126 Blue Grass Rd
Philadelphia, PA 19114
Phone (215) 330-0050

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: leonard.nelson.p10@direct.ocli.nextgenshare.com
  • Direct secure messaging: leonard.nelson.p1@direct.oppdoctors.nextgenshare.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1093789679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LEONARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04991900",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD025037E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000790768-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000790768-0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.