Gregory Lee Leischer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2687 Issued in WI

Practice address

611 Stevens Dr
Wausau, WI 54401-3006

Phone

(715) 848-2020

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

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 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eyecare Center of Wausau LLC

  • Optometrist
  • Wausau, WI
  • NPI 1770722993

  O20100930100659

  Same enrollment

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Center of Wausau LLCGroup PAC ID 5890993117, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsey B Koerner, O.D.

  • Optometrist
  • Wausau, WI
  • NPI 1659729580
  Medicare reassignment
• Lauren Mae Leurquin, OD

  • Optometrist
  • Wausau, WI
  • NPI 1770143984
  Medicare reassignment

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.

• Eyecare Center of Wausau LLC

  • Optometrist
  • Wausau, WI
  • NPI 1770722993
  Medicare reassignment Care Compare group NPD Authorized official
• Antigo Eye Care Center

  • Optometrist
  • Antigo, WI
  • NPI 1457459836
  NPD (past)
• Nikolay Chiropractic LLC

  • Chiropractor
  • Marshfield, WI
  • NPI 1790564508
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1285770065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 STEVENS DRIVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013006",
            "telephone_number": "715-848-2020",
            "fax_number": "715-845-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 STEVENS DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013006",
            "telephone_number": "715-848-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISCHER",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38601100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaonue Lee, PTA
• Kayla Lee, RN
• Oliver James Lees, PH.D.
• Christopher Matthew Lehan
• Robert Leimbach, MD
• Michael Leiterman
• Judy Lemke, LCSW, LPC
• Caitlin Lemmer, PHARMD
• Lori Lenhard, LPC
• Sheila Lentz-Krahn, LPN

• Optometrist in Wausau, WI
• Providers in Wausau, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.

Verify at the official NPI Registry.