Leslie N Richardson, O.D. PSC

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

Last updated

Oct 19, 2010By the provider in NPPES

Organization subpart

No

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.NPI 1457488116

Title

Owner/Doctor

Phone

(270) 465-3669

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie N. Richardson, O.D.

  • Optometrist
  • Campbellsville, KY
  • NPI 1457488116
  Authorized official Same address or phone
• Tarah Jo Mathews, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Glasgow, KY
  • NPI 1063763571
  NPD (past)

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": []
}

• Kimberly H Lawless, AU.D.
• Shana R Lawson, LPCA
• Heidi L. Lee, APRN
• Ryan David Lee, LAT, ATC
• Legacy Recovery for Women
• Zewdu Lissanu, M.D.
• Jake Thomas Logsdon, TCADC
• Tracy Lee Lott, MS, ATC
• Heather Loy, APRN
• Lumina of Campbellsville

• Optometrist in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Optometrist in Kentucky

• 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.