Active NPI
Leslie Joan Humphrey, O.D.
- Optometrist
- Columbus, OH
National Provider Identifier
1255378998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5314/T2223
- Practice address
- 1756 W Lane Ave
Columbus, OH 43221-3311 - Phone
- (614) 488-3937
- NPI assigned
- Jun 1, 2006
- Last updated
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5314/T2223 | OH | Primary |
Addresses
Primary practice location
1756 W Lane Ave
Columbus, OH 43221-3311
Mailing address
1108 Baumock Burn Dr
Columbus, OH 43235-2166
Phone (614) 310-5480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060920000517 | OH | Practitioner - Optometry | 2163427428 | Practice locations: Columbus, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1756 W Lane Ave
Columbus, OH 43221-3311
Phone (614) 488-3937
262 Neil Ave
Suite 110
Columbus, OH 43215-7314
Phone (614) 221-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5314/T2223 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Shewmaker & Associates Optometrists Inc | Optometrist | Past | Accepting new patients |
| McNemar Optical, Inc. | Past | Accepting new patients | |
| Dr Shewmaker & Associates Optometrists Inc | Optometrist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vision One
- Optometrist
- Ft Mitchell, KY
- NPI 1871641332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1255378998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 BAUMOCK BURN DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432352166",
"telephone_number": "614-310-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1756 W LANE AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432213311",
"telephone_number": "614-488-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "LESLIE",
"middle_name": "JOAN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5314/T2223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.