Active NPI
Leslie W. Cecil, O.D.
- Optometrist
- Bardstown, KY
National Provider Identifier
1215249479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1809DT
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003634A | IN | MD | Optometrist |
| 1809DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cecil & Assoc Eyecare PLLC | Optometrist | Current | Accepting new patients |
| Bardstown Dermatology PSC | Past | 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.
-
- Optometrist
- Shelbyville, KY
- NPI 1336452630
-
- Optometrist
- Elizabethtown, KY
- NPI 1568776938
-
- Dermatology Physician
- Bardstown, KY
- NPI 1932260783
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.