Organization Active NPI

Infocus Eye Care, PLLC

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1386116168
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INFOCUS EYE CARE, PLLC
Practice address
1234 E Woodmen Rd Unit 120
Colorado Springs, CO 80920-8248
Phone
(303) 642-6168
NPI assigned
Dec 18, 2018
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Dr. Jason Ryan Leonhardt, ODNPI 1235512435
Title
Optometrist
Phone
(303) 642-6168

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

1234 E Woodmen Rd Unit 120
Colorado Springs, CO 80920-8248

Mailing address

6609 Shadow Star Dr
Colorado Springs, CO 80927-4401
Phone (303) 642-6168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190403001780 CO Part B Supplier - Clinic/Group Practice 2860733730 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1234 E Woodmen Rd
Unit 120
Colorado Springs, CO 80920
Phone (303) 642-6168

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1386116168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 SHADOW STAR DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809274401",
            "telephone_number": "303-642-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 E WOODMEN RD UNIT 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208248",
            "telephone_number": "303-642-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFOCUS EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "LEONHARDT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "303-642-6168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.