Kathleen Marie Leahy, OD
Individual provider Active NPI Optometrist · Kalkaska, MI
NPI 1104483437 · NPPES record last updated Sep 22, 2020
Key facts
- NPI
- 1104483437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901005239 (MI)
- Practice address
- 882 M 72 NW
Kalkaska, MI 49646-8787 - Phone
- (231) 258-9781
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Traverse City Ophthalmology PLLC
Practice addresses (Care Compare)
7800 US Hwy 131 S
Suite C Traverse City Eye
Cadillac, MI 49601-7080
Phone (231) 935-8101
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.55 of 100
- Quality
- 95.38
- Improvement activities
- 40
- Cost
- 41.32
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190729002363 | MI | Practitioner - Optometry | 0143556100 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005239 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traverse City Eye Consultants P C | Optometrist | Current | Accepting new patients |
| Townline Family PC | Optometrist | Current |
Accepting new patients |
| Traverse City Ophthalmology PLLC | Current |
Accepting new patients | |
| Robert & Kimberly Molter Inc | Optometrist | Past |
Accepting new patients |
Locations
7800 US Highway 131 S
Ste C
Cadillac, MI 49601
Phone (231) 779-0320
419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500
882 M 72 W
Kalkaska, MI 49646
Phone (231) 258-9781
3830 W Front St
Traverse City, MI 49684
Phone (231) 929-3888
Interoperability endpoints
- katleahy@tce.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005239 | MI | Yes |
Addresses
Primary practice location
882 M 72 NW
Kalkaska, MI 49646-8787
Mailing address
369 Kratky Dr
Traverse City, MI 49696-1181
Phone (231) 590-3690
Other names
- Kathleen M Bott
Other providers in Kalkaska, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.