Individual provider Active NPI

David P Leroux, O.D.

  • Optometrist
  • Glen Allen, VA
National Provider Identifier
1275634586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000222 Issued in VA
Practice address
4028 Cox Rd Ste M
Glen Allen, VA 23060-6702
Phone
(804) 217-9883
Fax
(804) 217-9065
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000222 VA Primary

Addresses

Primary practice location

4028 Cox Rd Ste M
Glen Allen, VA 23060-6702

Mailing address

10291 Shawns Grove PL
Mechanicsville, VA 23116-5839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20081210000529 VA Practitioner - Optometry 7315008273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care of RichmondGroup PAC ID 6103974217, 10 clinicians

Practice addresses (Care Compare)

4114 Innslake Dr
Glen Allen, VA 23060-3344
Phone (804) 217-9883

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000222VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care of Richmond Optometrist CurrentSince Mar 12, 1998 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

301 N Washington Hwy
Ste 102
Ashland, VA 23005
Phone (804) 798-3306

4028 Cox Rd
Ste M
Glen Allen, VA 23060
Phone (804) 217-9883

4114 Innslake Dr
Glen Allen, VA 23060
Phone (804) 217-9883

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275634586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10291 SHAWNS GROVE PL",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231165839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 COX RD STE M",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606702",
            "telephone_number": "804-217-9883",
            "fax_number": "804-217-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEROUX",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.