Active NPI
Leigh Sha R Chervenka, OD
- Optometrist
- Nashua, NH
National Provider Identifier
1093931271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 817
- Practice address
- 163 Amherst St Ste C
Nashua, NH 03064-1367 - Phone
- (603) 320-8880
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 817 | NH | Primary |
| Optometrist | 152W00000X | 304T | WY | |
| Optometrist | 152W00000X | 4229TP | MA | |
| Optometrist | 152W00000X | 5106T | TX | |
| Optometrist | 152W00000X | 561 | SD |
Addresses
Primary practice location
163 Amherst St Ste C
Nashua, NH 03064-1367
Mailing address
78 North Pepperell Road
Hollis, NH 82009
Phone (603) 465-3530
Other practice location 1
175 Littleton Road
Westford, MA 01886
Phone (978) 692-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031104000064 | MA | Practitioner - Optometry | 4981516408 | Practice locations: Westford, MA |
| I20180523001639 | NH | Practitioner - Optometry | 4981516408 | Practice locations: Nashua, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
163 Amherst St
Nashua, NH 03064-1396
Phone (603) 320-8880
175 Littleton Rd
Westford, MA 01886-3196
Phone (978) 692-7575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4229TP | MA | MD | Optometrist |
| 817 | NH | MD | Optometrist |
| 561 | SD | MD | Optometrist |
| 5106T | TX | MD | Optometrist |
| 304T | WY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1093931271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 NORTH PEPPERELL ROAD",
"city": "HOLLIS",
"state": "NH",
"postal_code": "82009",
"telephone_number": "603-465-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 AMHERST ST STE C",
"city": "NASHUA",
"state": "NH",
"postal_code": "030641367",
"telephone_number": "603-320-8880"
}
],
"practiceLocations": [
{
"address_1": "175 Littleton Road",
"address_purpose": "LOCATION",
"city": "Westford",
"state": "MA",
"postal_code": "01886",
"country_code": "US",
"telephone_number": "978-692-7575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHERVENKA",
"first_name": "LEIGH",
"middle_name": "SHA R",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2021-09-21",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "817",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WY",
"license": "304T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4229TP",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5106T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SD",
"license": "561",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.