Active NPI
Ben Leonard
- Optometrist
- Calvert City, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1896DT
- Practice address
- 43 Industrial Pkwy
Calvert City, KY 42029-8416 - Phone
- (270) 395-8331
- NPI assigned
- Jul 17, 2012
- Last updated
- Oct 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1896DT | KY | Primary |
| Specialist | 174400000X | 1896DT | KY |
Addresses
Primary practice location
43 Industrial Pkwy
Calvert City, KY 42029-8416
Mailing address
43 Industrial Pkwy
Calvert City, KY 42029-8416
Phone (270) 395-8331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100215320 | Medicaid | KY | |
| 000000781207 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43 Industrial Pkwy
Calvert City, KY 42029-8416
Phone (270) 395-8331
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1896DT | KY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Midwest Inc | Optometrist | Current | Accepting new patients |
| 20-20 Eyecare PSC | Optometrist | Past | Accepting new patients |
Locations
109 W 5th St
Benton, KY 42025
Phone (270) 527-7421
43 Industrial Pkwy
Calvert City, KY 42029
Phone (270) 395-8331
3978 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 441-8500
1400 Commonwealth Dr
Mayfield, KY 42066
Phone (270) 247-2417
817 N 12th St
Murray, KY 42071
Phone (270) 753-2842
1748 Broadway St
Paducah, KY 42001
Phone (270) 443-9955
Interoperability endpoints
- bleonard@direct.eyecare-partners.com
Organizations & group practices 4
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.
-
- Optometrist
- Louisville, KY
- NPI 1710924949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1306191218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 INDUSTRIAL PKWY",
"city": "CALVERT CITY",
"state": "KY",
"postal_code": "420298416",
"telephone_number": "270-395-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 INDUSTRIAL PKWY",
"city": "CALVERT CITY",
"state": "KY",
"postal_code": "420298416",
"telephone_number": "270-395-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "BEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1896DT",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "1896DT",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100215320",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000781207",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calvert City, KY
- Jessica Francescon
- Ashley Flanary Jessup, MD
- John P Lyles Optometrist
- Susan Leah Landis
- Cynthia Jill Landon
- Lori Ann Lipinski, DNP; ARNP-BC
- LP Calvert City, LLC (Oakview Nursing & Rehabilitation Center)
- Marshall County Health Department (Marshall County Health Department Calvert City Clinic)
- Leeann Mills
- Hayes Oliver
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.