Individual provider Active NPI

Leonard Donde, O.D.

  • Optician
  • Brooklyn, NY
National Provider Identifier
1124196118
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
0071631-1 Issued in NY
Practice address
453 Kings Hwy
Brooklyn, NY 11223-1803
Phone
(718) 336-1060
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 0071631-1 NY Primary

Addresses

Primary practice location

453 Kings Hwy
Brooklyn, NY 11223-1803

Mailing address

453 Kings Hwy
Modern Optical
Brooklyn, NY 11223-1847
Phone (718) 336-1060

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0071631-1NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Green Vision Corp Optician Current Accepting new patients
Modern Optika ,Inc Optician CurrentSince Jan 25, 2008 Accepting new patients
Modern Vision, Inc Past Accepting new patients

Organizations & group practices 3

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1124196118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 KINGS HWY",
            "address_2": "MODERN OPTICAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231847",
            "telephone_number": "718-336-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231803",
            "telephone_number": "718-336-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONDE",
        "first_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "0071631-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.