Active NPI
Andrew L Leitzel, O.D.
- Optometrist
- Manchester, PA
National Provider Identifier
1124020441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001473
- Practice address
- 234 Rosedale Dr
Manchester, PA 17345-1023 - Phone
- (717) 266-5661
- Fax
- (717) 266-6510
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Corneal and Contact Management Optometrist
- Manchester, PA
- NPI 1346506250
Optometrist, PA
-
- Ophthalmology Physician
- Carlisle, PA
- NPI 1598987646
-
- Optometrist
- Manchester, PA
- NPI 1255424545
-
- Optometrist
- Mechanicsburg, PA
- NPI 1982662680
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sans Pareil Eyecare
Practice addresses (Care Compare)
234 Rosedale Dr
Manchester, PA 17345-1023
Phone (717) 266-5661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040914000063 | PA | Practitioner - Optometry | 4486621075 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sans Pareil Eyecare | Optometrist | Current | Accepting new patients |
| David L Hartzell MD | Past | Accepting new patients | |
| Mechanicsburg Eye Associates LLC | Optometrist | Past | Accepting new patients |
| Hartzell Eye Specialists, LLC | Optometrist | Past | Accepting new patients |
| James P. Tuttle, OD | Optometrist | Past | Accepting new patients |
Locations
234 Rosedale Dr
Manchester, PA 17345
Phone (717) 266-5661
100 N Walnut St
Mechanicsburg, PA 17055
Phone (717) 766-4757
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001473 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
234 Rosedale Dr
Manchester, PA 17345-1023
Mailing address
234 Rosedale Dr
Manchester, PA 17345-1023
Phone (717) 266-5661
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101057379 | Medicaid | PA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2012.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338076800000",
"number": "1124020441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 ROSEDALE DR",
"city": "MANCHESTER",
"state": "PA",
"postal_code": "173451023",
"telephone_number": "717-266-5661",
"fax_number": "717-266-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 ROSEDALE DR",
"city": "MANCHESTER",
"state": "PA",
"postal_code": "173451023",
"telephone_number": "717-266-5661",
"fax_number": "717-266-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITZEL",
"first_name": "ANDREW",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2012-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101057379",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2012; 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.