Organization Active NPI

Rachel H. Leland, O.D., PLLC.

  • Optometrist
  • Riverview, FL
National Provider Identifier
1194442541
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RACHEL H. LELAND, O.D., PLLC.
Practice address
9433 Balm Riverview Rd Ste 102
Riverview, FL 33569-5120
Phone
(352) 409-2982
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Dr. Rachel Higgs Leland, ODNPI 1780034181
Title
Optometrist
Phone
(352) 409-2982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9433 Balm Riverview Rd Ste 102
Riverview, FL 33569-5120

Mailing address

11312 Grand Park Ave
Riverview, FL 33578-3568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230424002516 FL Part B Supplier - Clinic/Group Practice 8022473198 Receives reassigned benefits from 2 practitioners
Practice locations: Riverview, FL

National Provider Directory

National Provider Directory

Locations

9433 Balm Riverview Rd
Ste 102
Riverview, FL 33569
Phone (813) 671-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1194442541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 GRAND PARK AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 BALM RIVERVIEW RD STE 102",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695120",
            "telephone_number": "352-409-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL H. LELAND, O.D., PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "LELAND",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "HIGGS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "352-409-2982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.