Individual provider Active NPI

Suzanne Leah Leach, OD, O.D.

  • Optometrist
  • Eaton, OH
National Provider Identifier
1386614782
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4119/T938 Issued in OH
Practice address
1845 State Route 127 N
Suite a
Eaton, OH 45320-9284
Phone
(937) 472-5665
Fax
(937) 472-3933
NPI assigned
Jan 26, 2006
Last updated
Jan 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4119/T938 OH Primary

Addresses

Primary practice location

1845 State Route 127 N
Suite a
Eaton, OH 45320-9284

Mailing address

1845 State Route 127 N
Suite a
Eaton, OH 45320-9284
Phone (937) 472-5665

Other identifiers 1

IdentifierTypeStateIssuer
0230824MedicaidOH

Other names 1

  • Suzanne Leah Leach, OD Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100113000278 OH Practitioner - Optometry 4981745957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey W Collins OD IncGroup PAC ID 8426082322, 2 clinicians

Practice addresses (Care Compare)

204 N Barron St
Suite B
Eaton, OH 45320-1765
Phone (937) 472-5665

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4119/T938OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey W. Collins, O.D., Inc. Optometrist CurrentSince Jun 30, 1997 Accepting new patients
Jeffrey W Collins OD Inc Optometrist CurrentSince Jun 30, 1997 Accepting new patients

Locations

1845 US Highway 127 N
Ste A
Eaton, OH 45320
Phone (937) 472-5665

204 N Barron St
Ste B
Eaton, OH 45320
Phone (937) 456-2805

127 Lynn Ave
Oxford, OH 45056
Phone (513) 523-6339

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327708800000",
    "number": "1386614782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 STATE ROUTE 127 N",
            "address_2": "SUITE A",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209284",
            "telephone_number": "937-472-5665",
            "fax_number": "937-472-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 STATE ROUTE 127 N",
            "address_2": "SUITE A",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209284",
            "telephone_number": "937-472-5665",
            "fax_number": "937-472-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH, OD",
        "first_name": "SUZANNE",
        "middle_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4119/T938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230824",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "LEACH, OD",
            "middle_name": "LEAH",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eaton, OH

Sources for this page

Verify at the official NPI Registry.