Nicholas Leone, M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301057966 Issued in MI

Legal business name

NICHOLAS LEONE, M.D., P.C.

Practice address

39400 Garfield Rd
Suite 103
Clinton TWP, MI 48038-4096

Phone

(586) 286-6550

Fax

(586) 286-1843

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Leone, M.D.NPI 1487735858

Title

President

Phone

(586) 286-6550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Nicholas Leone, M.D.

  • Ophthalmology Physician
  • Clinton Township, MI
  • NPI 1487735858
  Medicare reassignment NPD Authorized official
• Jerry S Fagelman, MD

  • Ophthalmology Physician
  • Clinton Township, MI
  • NPI 1184799058
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356472435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 103",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-6550",
            "fax_number": "586-286-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 103",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-6550",
            "fax_number": "586-286-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS LEONE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEONE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-286-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301057966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "OEO1563",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neurosurgery Group, P.C.
• Neurosurgery Group, P.C. (Wellness Physical Medicine Center)
• Jonathan Austin Newby, MSW
• Stacey Newcomb, LMSW
• Next Chapter Therapy Services PLLC
• Christopher Nicholas, D.O.
• Tyleen Nicholas, MA, LPC, CAADC
• Ornela Nikaj
• Laura Jane Nikkel, RN
• Breeanna Nikolovski

• Ophthalmology Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.