Organization Active NPI

Leadingham Eye Care Center - Ashland

  • Optometrist
  • Ashland, KY
National Provider Identifier
1366723108
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0748DT Issued in KY
Legal business name
LEADINGHAM EYE CARE CENTER - ASHLAND
Practice address
1330 Carter Ave
Suite 1
Ashland, KY 41101-7544
Phone
(606) 325-9659
Fax
(606) 329-1258
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Dr. William Ernest Leadingham, OD PSCNPI 1073505814
Title
Managing Partner
Phone
(606) 325-9659

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 0748DT KY Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1659DT KY

Addresses

Primary practice location

1330 Carter Ave
Suite 1
Ashland, KY 41101-7544

Mailing address

PO Box 1069
Ashland, KY 41105
Phone (606) 325-9659

Other names 1

  • WILLIAM E LEADINGHAM OD PSC GEN P Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110912000226 KY Part B Supplier - Clinic/Group Practice 8426229030 Receives reassigned benefits from 2 practitioners
Practice locations: Ashland, KY
O20120131000884 KY DME Supplier - Physician - Optometrist 8426229030 Practice locations: Ashland, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Leadingham Eye Care Center Ashland1330 Carter Ave, Ashland, KY 41101-7544(606) 325-9659 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 19, 2011

National Provider Directory

National Provider Directory

Locations

1330 Carter Ave
Ste 1
Ashland, KY 41101
Phone (606) 325-9659

1330 Carter Ave
Ashland, KY 41101
Phone (606) 325-9659

1330 Carter Ave
#O
Ashland, KY 41101

Practitioners & affiliated clinicians

Practitioners 3

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": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1366723108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1069",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41105",
            "telephone_number": "606-325-9659",
            "fax_number": "606-329-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CARTER AVE",
            "address_2": "SUITE 1",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017544",
            "telephone_number": "606-325-9659",
            "fax_number": "606-329-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADINGHAM EYE CARE CENTER - ASHLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "LEADINGHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "606-325-9659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD PSC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0748DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1659DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIAM E LEADINGHAM OD PSC GEN P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.