Mervi H Leyendeckers, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008462 Issued in IL

Legal business name

MERVI H LEYENDECKERS, O.D., P.C.

Practice address

926 Broadway St
Quincy, IL 62301-2730

Phone

(217) 222-6888

Fax

(217) 222-6975

NPI assigned

Nov 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mervi H Leyendeckers, O.D.

Title

Optometrist

Phone

(217) 222-6888

Specialties & licenses 1

Addresses

Other names 1

• Broadway Vision Center Other name

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1396046090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 BROADWAY STREET",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012730",
            "telephone_number": "217-222-6888",
            "fax_number": "217-222-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012730",
            "telephone_number": "217-222-6888",
            "fax_number": "217-222-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERVI H LEYENDECKERS, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "LEYENDECKERS",
        "authorized_official_first_name": "MERVI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "217-222-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Vision Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mohammed I Memon, M.D.
• Danielle Marie Mercer, LCSW
• Lee Mercer, PTA
• Lynn Barbara Mercurio, LCPC
• Tanya Mero, M.D.
• Tony Alan Metz, LPC
• Donald M Meyer, BC-HIS
• Joseph Valentine Meyer, MD
• Keiley Meyer
• Sydney Nicole Meyer, LCPC

• Optometrist in Quincy, IL
• Providers in Quincy, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.