Active NPI
James C Leadingham, O.D., PSC
- Optometrist
- Louisa, KY
National Provider Identifier
1104814599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0731DT
- Practice address
- 112 Vinson Blvd
Louisa, KY 41230-1155 - Phone
- (606) 638-4731
- Fax
- (606) 638-3523
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77007318 | Medicaid | KY | |
| 000000305678 | Other | KY | BCBS |
| 0149556000 | Medicaid | WV | |
| 1432032 | Other | KY | UNITED MINE WORKERS H&R |
| P00134006 | Other | KY | RAILROAD MEDICARE |
| 610980551 | Other | KY | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0731DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William E Leadingham, OD, PSC | Optometrist | Past | Accepting new patients |
| Leadingham Eye Care Center - Ashland | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Ashland, KY
- NPI 1366723108
-
- Vision Therapy Optometrist
- Ashland, KY
- NPI 1396856001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1104814599",
"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": {
"last_name": "LEADINGHAM",
"first_name": "JAMES",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "O.D., PSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "0731DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77007318",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000305678",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149556000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS H&R",
"identifier": "1432032",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00134006",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "610980551",
"state": "KY"
}
],
"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 Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.