NPIMap

Organization Active NPI

James C Leadingham, O.D., PSC

  • Optometrist
  • Louisa, KY
National Provider Identifier
1104014687
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0731DT Issued in KY
Legal business name
JAMES C LEADINGHAM, O.D., PSC
Practice address
112 Vinson Blvd
Louisa, KY 41230-1155
Phone
(606) 638-4731
Fax
(606) 638-3523
NPI assigned
Oct 9, 2007
Last updated
Aug 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Dr. James C Leadingham, O.D. PSCNPI 1104814599
Title
Doctor/Owner
Phone
(606) 638-4731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0731DT KY Primary

Addresses

Primary practice location

112 Vinson Blvd
Louisa, KY 41230-1155

Mailing address

112 Vinson Blvd
Louisa, KY 41230
Phone (606) 638-4731

Other identifiers 4

IdentifierTypeStateIssuer
000000305678OtherBCBS
0149556000MedicaidWV
1432032OtherUNITED MIN WORKERS H&R
DB8758OtherRR MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1104014687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 VINSON BLVD",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "41230",
            "telephone_number": "606-638-4731",
            "fax_number": "606-638-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 VINSON BLVD",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301155",
            "telephone_number": "606-638-4731",
            "fax_number": "606-638-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C LEADINGHAM, O.D., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "LEADINGHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "606-638-4731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D. PSC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0731DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000305678",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149556000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MIN WORKERS H&R",
            "identifier": "1432032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB8758",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.