Susan B Leader, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3521 Issued in MA

Practice address

474 Lowell St
Peabody, MA 01960-1385

Phone

(978) 535-3644

NPI assigned

Sep 27, 2006

Last updated

Apr 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MA

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

New England College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leader Eye Associates IncGroup PAC ID 3779874946, 2 clinicians

Practice addresses (Care Compare)

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.

• Leader Eye Associates Inc

  • Optometrist
  • Rowley, MA
  • NPI 1538514534
  Medicare reassignment Care Compare group NPD Authorized official
• Alan J Rubin Inc

  dba The Eye Place

  • Eyewear Supplier
  • Peabody, MA
  • NPI 1912172321
  NPD (past)
• Ohpntz Vision LLC

  dba Stacy E Bean, OD

  • Optometrist
  • Beverly, MA
  • NPI 1528661600
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1194816009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 STILLMAN RD",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401704",
            "telephone_number": "781-334-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 LOWELL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601385",
            "telephone_number": "978-535-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADER",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Cristelle Lascola, MMP
• Caroline C. Lawler, M.D.
• Ivana Lazich, M.D.
• Veronica Margaret Lazzara, PMHNP
• Andrew H Leader-Cramer, M.D.
• Leah Leavitt, LCSW, MSW
• Travis James Ledoyt, DPT
• David Michael Lee, LMHC
• Jennifer Lee, DMD
• Marielle Siu Wen Lee

• Optometrist in Peabody, MA
• Providers in Peabody, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.