Organization Active NPI

Barry Leonard OD Inc

  • Optometrist
  • Panorama City, CA
National Provider Identifier
1326024704
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7826T Issued in CA
Legal business name
BARRY LEONARD OD INC
Practice address
14425 Chase St
Panorama City, CA 91402-3016
Phone
(818) 891-6711
Fax
(818) 891-5272
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Barry W. Leonard, O.D.NPI 1710145727
Title
Optometrist
Phone
(818) 891-6711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7826T CA Primary

Addresses

Primary practice location

14425 Chase St
Panorama City, CA 91402-3016

Mailing address

14425 Chase St
Panorama City, CA 91402-3016
Phone (818) 891-6711

Other identifiers 1

IdentifierTypeStateIssuer
SD0078260MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080703000300 CA Part B Supplier - Clinic/Group Practice 5294807400 Receives reassigned benefits from 4 practitioners
Practice locations: Panorama City, CA

National Provider Directory

National Provider Directory

Locations

14425 Chase St
Panorama City, CA 91402
Phone (818) 891-6711

Practitioners & affiliated clinicians

Practitioners 4

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": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1326024704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14425 CHASE ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023016",
            "telephone_number": "818-891-6711",
            "fax_number": "818-891-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 CHASE ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023016",
            "telephone_number": "818-891-6711",
            "fax_number": "818-891-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY LEONARD OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "818-891-6711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7826T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0078260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.