NPIMap

Organization Active NPI

Leach Eye Care

  • Optometrist
  • Mosinee, WI
National Provider Identifier
1295923977
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1677-035 Issued in WI
Legal business name
LEACH EYE CARE
Practice address
412 3Rd St
Mosinee, WI 54455-1425
Phone
(715) 693-2400
Fax
(715) 693-4699
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Kathi Lynn Leach, O.D.
Title
Owner
Phone
(715) 693-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1677-035 WI Primary

Addresses

Primary practice location

412 3Rd St
Mosinee, WI 54455-1425

Mailing address

PO Box 239
Mosinee, WI 54455-0239
Phone (715) 693-2400

National Provider Directory

National Provider Directory

Locations

412 3rd St
Mosinee, WI 54455
Phone (715) 693-2400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1295923977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544550239",
            "telephone_number": "715-693-2400",
            "fax_number": "715-693-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 3RD ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551425",
            "telephone_number": "715-693-2400",
            "fax_number": "715-693-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEACH EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "KATHI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-693-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1677-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mosinee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.