Kathleen Marie Leahy, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005239 Issued in MI

Practice address

882 M 72 NW
Kalkaska, MI 49646-8787

Phone

(231) 258-9781

NPI assigned

May 22, 2019

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen M Bott Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

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 PLLCGroup PAC ID 6608273412, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.55 of 100Reported as group

Quality

95.38

Improvement activities

40

Cost

41.32

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katleahy@tce.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Traverse City Ophthalmology PLLC

  dba Traverse City Eye

  • Ophthalmology Physician
  • Traverse City, MI
  • NPI 1225616279
  Medicare reassignment Care Compare group NPD
• Townline Family PC

  dba Kalkaska Family Vision Care

  • Optometrist
  • Kalkaska, MI
  • NPI 1679968044
  Medicare reassignment NPD
• Traverse City Eye Consultants P C

  • Ophthalmology Physician
  • Traverse City, MI
  • NPI 1316009368

  Optometrist

  NPD
• Robert & Kimberly Molter Inc

  • Optometrist
  • Kalkaska, MI
  • NPI 1841303153
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1104483437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 KRATKY DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496961181",
            "telephone_number": "231-590-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 M 72 NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468787",
            "telephone_number": "231-258-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BOTT",
            "middle_name": "M",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kmi Medical, Inc
• Marc S Krakow, M.D.
• Labrover
• Carri Rene Latta, MA, LLPC
• Alicia Ann Layman
• Desirae Marie Legg
• Life's Work Clinic, PLLC
• Andrew James Long, DO
• Jessica Rose Loose, MOTRL
• Kathryn Karen Mancewicz, CCC-SLP

• Optometrist in Kalkaska, MI
• Providers in Kalkaska, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.

Verify at the official NPI Registry.