Individual provider Active NPI

Greg Leszek, O.D.

  • Optometrist
  • Erie, PA
National Provider Identifier
1386714806
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001253 Issued in PA
Practice address
2240 E 38TH St
Erie, PA 16510-3688
Phone
(814) 824-3937
Fax
(814) 824-6608
NPI assigned
Nov 9, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001253 PA Primary

Addresses

Primary practice location

2240 E 38TH St
Erie, PA 16510-3688

Mailing address

2240 E 38TH St
Erie, PA 16510-3688
Phone (814) 824-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170726002929 PA Practitioner - Optometry 9234108135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2501 W 12TH St
Suite 2
Erie, PA 16505-4527
Phone (814) 838-0550

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001253PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gem City Eye Care Inc Optometrist CurrentSince Oct 15, 2022 Accepting new patients

Locations

2501 W 12th St
#200
Erie, PA 16505
Phone (814) 838-0550

2501 W 12th St
Ste 200
Erie, PA 16505
Phone (814) 838-0550

Organizations & group practices 1

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386714806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165103688",
            "telephone_number": "814-824-3937",
            "fax_number": "814-824-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165103688",
            "telephone_number": "814-824-3937",
            "fax_number": "814-824-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESZEK",
        "first_name": "GREG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.