Individual provider Active NPI

Jason Leonhardt

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1235512435
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003142 Issued in CO
Practice address
7238 N Academy Blvd
Colorado Springs, CO 80920-3187
Phone
(719) 592-9991
NPI assigned
Jul 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003142 CO Primary

Addresses

Primary practice location

7238 N Academy Blvd
Colorado Springs, CO 80920-3187

Mailing address

7238 N Academy Blvd
Colorado Springs, CO 80920-3187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160503002242 CO Practitioner - Optometry 1254630841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1234 E Woodmen Rd
Unit 120
Colorado Springs, CO 80920-8248
Phone (719) 602-4082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003142COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Infocus Eye Care, PLLC Optometrist CurrentSince Feb 27, 2019 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Mar 22, 2016 Accepting new patients
Sowash Optometry Group PC Optometrist CurrentSince Mar 22, 2016 Accepting new patients

Locations

7238 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 292-9991

1234 E Woodmen Rd
Unit 120
Colorado Springs, CO 80920
Phone (303) 642-6168

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1235512435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7238 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7238 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203187",
            "telephone_number": "719-592-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONHARDT",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.