Leon Optometric Clinic PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007325 Issued in IL

Legal business name

LEON OPTOMETRIC CLINIC PC

Practice address

10 W Adams Ave # 200
Villa Grove, IL 61956-1513

Phone

(217) 832-2111

Fax

(217) 832-9935

NPI assigned

Jul 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steve Alan Leon, OD

Title

Optometrist

Phone

(217) 832-2111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Emily McKinney, OD

  • Optometrist
  • Savoy, IL
  • NPI 1952073983
  NPD (past)
• Creighton Prosser, OD

  • Optometrist
  • Savoy, IL
  • NPI 1467281709
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1346406337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W ADAMS AVE",
            "city": "VILLA GROVE",
            "state": "IL",
            "postal_code": "619561513",
            "telephone_number": "217-832-2111",
            "fax_number": "217-832-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W ADAMS AVE # 200",
            "city": "VILLA GROVE",
            "state": "IL",
            "postal_code": "619561513",
            "telephone_number": "217-832-2111",
            "fax_number": "217-832-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON OPTOMETRIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "217-832-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6195601",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franklin L Dowler Jr., D.C.
• Sara M. Hickey, M.S., CCC-SLP/ L
• Phillip William Robinson Jones, D.D.S.
• Nicole Kirkman
• Nicole Gayle Kneer, MS CCC-SLP
• Steve Alan Leon, O.D.
• Bhargavkumar Patel, RPH
• Jessica Pedersen
• Meagan Nicole Quigley
• Rajeshwarikrupa Inc

• All providers in Villa Grove, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.