Organization Active NPI

Leslie N Richardson, O.D. PSC

  • Optometrist
  • Campbellsville, KY
National Provider Identifier
1154579514
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0851DT Issued in KY
Legal business name
LESLIE N RICHARDSON, O.D. PSC
Practice address
725 Campbellsville Byp
Campbellsville, KY 42718-8846
Phone
(270) 465-3669
Fax
(270) 465-3579
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Dr. Leslie N Richardson, O.D.
Title
Owner/Doctor
Phone
(270) 465-3669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0851DT KY Primary

Addresses

Primary practice location

725 Campbellsville Byp
Campbellsville, KY 42718-8846

Mailing address

725 Campbellsville Byp
Campbellsville, KY 42718-8846
Phone (270) 465-3669

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1154579514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CAMPBELLSVILLE BYP",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188846",
            "telephone_number": "270-465-3669",
            "fax_number": "270-465-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CAMPBELLSVILLE BYP",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188846",
            "telephone_number": "270-465-3669",
            "fax_number": "270-465-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE N RICHARDSON, O.D. PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "270-465-3669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0851DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.