Leslie Coffee Gallagher, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

KS1648 Issued in KS

Practice address

121 W 4TH St
Holton, KS 66436-1701

Phone

(785) 364-5000

Fax

(785) 364-5473

NPI assigned

Sep 25, 2006

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Optometry

Education

Southern College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gallagher Eye Care of HoltonGroup PAC ID 9739104241, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gallagher Eye Care of Holton

  • Optometrist
  • Holton, KS
  • NPI 1417168469
  Medicare reassignment Care Compare group NPD
• Kresie & Penzler, M.D.'S PA

  • Ophthalmology Physician
  • Topeka, KS
  • NPI 1952353740
  NPD (past)
• Kyler Knobbe, OD, LLC

  • Optometrist
  • Wamego, KS
  • NPI 1326492190
  NPD (past)
• Mark Bettencourt, O.D. PC

  dba Vision Source

  • Optometrist
  • Wamego, KS
  • NPI 1295729846
  NPD (past)
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1184724296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 4TH ST",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361701",
            "telephone_number": "785-364-5036",
            "fax_number": "785-364-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W 4TH ST",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361701",
            "telephone_number": "785-364-5000",
            "fax_number": "785-364-5473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 New York Ave",
            "address_purpose": "LOCATION",
            "city": "Holton",
            "state": "KS",
            "postal_code": "664361708",
            "country_code": "US",
            "telephone_number": "785-364-5036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEE GALLAGHER",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Black, PHARMD
• Steven Patrick Buck, D.C.
• Joni Lea Burgos
• Aaron Lee Cheney, D.C.
• Ronald Lee Cobb, DMIN LCAC
• Clint M Colberg, MD
• Jill S Collins, APRN
• Community Assisted Living Inc
• Community Healthcare System, Inc (Holton Family Health Clinic)
• Complete Chiropractic Care Center, LLC

• Optometrist in Holton, KS
• Providers in Holton, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.