Individual provider Active NPI

Melissa Louise Leoni, OD

  • Optometrist
  • Barboursville, WV
National Provider Identifier
1184675746
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WV103200 Issued in WV
Practice address
6010 US Route 60 E
Barboursville, WV 25504-1029
Phone
(304) 733-0809
Fax
(304) 733-4234
NPI assigned
May 16, 2006
Last updated
Sep 4, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X WV103200 WV Primary

Addresses

Primary practice location

6010 US Route 60 E
Barboursville, WV 25504-1029

Mailing address

6010 US Route 60 E
Barboursville, WV 25504-1029
Phone (304) 733-0809

Other identifiers 1

IdentifierTypeStateIssuer
001709447OtherWVBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000621 WV Practitioner - Optometry 6406872415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S Glenn Bailey OD IncGroup PAC ID 3274540646, 4 clinicians

Practice addresses (Care Compare)

6010 US Route 60 E
Barboursville, WV 25504-1029
Phone (304) 733-0809

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1032WVMDClinical Psychologist
WV103200WVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
S. Glenn Bailey O.D., Inc. Optometrist CurrentSince Aug 6, 2007 Accepting new patients

Locations

5167 US Route 60
Barboursville, WV 25504
Phone (304) 733-0808

Interoperability endpoints

  • Direct secure messaging: drleoni@baileyeyecare.eyefinity-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1184675746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 US ROUTE 60 E",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041029",
            "telephone_number": "304-733-0809",
            "fax_number": "304-733-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 US ROUTE 60 E",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041029",
            "telephone_number": "304-733-0809",
            "fax_number": "304-733-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONI",
        "first_name": "MELISSA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "WV103200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001709447",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.