Individual provider Active NPI

Leslie W. Cecil, O.D.

  • Optometrist
  • Bardstown, KY
National Provider Identifier
1215249479
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1809DT Issued in KY
Practice address
115 S 5TH St
Bardstown, KY 40004-1108
Phone
(502) 348-5125
Fax
(502) 348-2485
NPI assigned
Jul 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1809DT KY Primary
Optometrist 152W00000X 18003634A IN

Addresses

Primary practice location

115 S 5TH St
Bardstown, KY 40004-1108

Mailing address

115 S 5TH St
Bardstown, KY 40004-1108
Phone (502) 348-5125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20101008000690 KY Practitioner - Optometry 1254523244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

633 N 3Rd St
Bardstown, KY 40004-1750
Phone (502) 349-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003634AINMDOptometrist
1809DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cecil & Assoc Eyecare PLLC Optometrist Current Accepting new patients
Bardstown Dermatology PSC PastSince Aug 20, 2010 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1278201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1215249479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S 5TH ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041108",
            "telephone_number": "502-348-5125",
            "fax_number": "502-348-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S 5TH ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041108",
            "telephone_number": "502-348-5125",
            "fax_number": "502-348-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "LESLIE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-04",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1809DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003634A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.