Leon Francis Favede, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2658/T427 Issued in OH

Practice address

100 3Rd St
Bridgeport, OH 43912-1605

Phone

(740) 635-0814

Fax

(740) 635-2521

NPI assigned

Oct 3, 2006

Last updated

Dec 5, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DRS. Favede & Associates

  • Optometrist
  • Bridgeport, OH
  • NPI 1922192061
  Medicare reassignment
• Bridgeport Eyecare LLC

  • Optometrist
  • Bridgeport, OH
  • NPI 1568318897
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1356435481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 3RD ST",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121605",
            "telephone_number": "740-635-0814",
            "fax_number": "740-635-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 3RD ST",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121605",
            "telephone_number": "740-635-0814",
            "fax_number": "740-635-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVEDE",
        "first_name": "LEON",
        "middle_name": "FRANCIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2658/T427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal L Donley
• DRS. Favede & Associates
• Crystal Marie Dunaway
• East Central Ohio Educational Service Center
• Mackenzie Elliott
• Leon Michael Favede, O.D.
• Fosterbridge, LLC (Amivie)
• Brittany Gaito
• Greta Gazda-Roe
• Jamie Gellner

• Optometrist in Bridgeport, OH
• Providers in Bridgeport, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.