Individual provider Active NPI

Robert E Leonard II, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Oklahoma City, OK
National Provider Identifier
1124097589
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
21825 Issued in OK
Practice address
12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604
Phone
(405) 752-0717
Fax
(405) 752-0711
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 21825 OK
Retina Specialist (Ophthalmology) Physician 207WX0107X 21825 OK Primary

Addresses

Primary practice location

12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604

Mailing address

12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604
Phone (405) 752-0717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000222 OK Practitioner - Ophthalmology 0446384309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Oklahoma PLLCGroup PAC ID 3173522596, 14 clinicians

Practice addresses (Care Compare)

12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604
Phone (405) 752-0717

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
96.81
Improvement activities
40
Cost
54.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21825OKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Oklahoma PLLC Ophthalmology CurrentSince Feb 1, 2024 Accepting new patients
Ophthalmic Partners, PA Ophthalmology Past Accepting new patients
Summit Medical Center Past Accepting new patients
Corning Eye Center, PLLC Ophthalmology Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1425 Arlington St
Ada, OK 74820
Phone (405) 752-0717

12318 Saint Andrews Dr
Oklahoma City, OK 73120
Phone (405) 636-0710

1455 S Douglas Blvd
Ste D
Oklahoma City, OK 73130
Phone (405) 733-4545

501 E MacArthur St
Shawnee, OK 74804
Phone (405) 275-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1124097589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12318 SAINT ANDREWS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208604",
            "telephone_number": "405-752-0717",
            "fax_number": "405-752-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12318 SAINT ANDREWS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208604",
            "telephone_number": "405-752-0717",
            "fax_number": "405-752-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "21825",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OK",
            "license": "21825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.