William E Leadingham, OD, PSC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

748-DT Issued in KY

Legal business name

WILLIAM E LEADINGHAM, OD, PSC

Doing business as

Neuro Visual Rehabilitation Center

Practice address

1330 Carter Ave
Ashland, KY 41101-7544

Phone

(606) 329-8672

Fax

(606) 329-1258

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William E Leadingham, ODNPI 1073505814

Title

Owner

Phone

(606) 329-8672

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Neuro Visual Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William E Leadingham, OD

  • Vision Therapy Optometrist
  • Ashland, KY
  • NPI 1073505814
  Medicare reassignment NPD Authorized official
• James C Leadingham, O.D., PSC

  • Optometrist
  • Louisa, KY
  • NPI 1104814599
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1396856001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2005",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052005",
            "telephone_number": "606-329-8672",
            "fax_number": "606-329-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017544",
            "telephone_number": "606-329-8672",
            "fax_number": "606-329-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E LEADINGHAM, OD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "LEADINGHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-329-8672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "748-DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1659-DT",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "KY",
            "license": "748-DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA MEDICAID",
            "identifier": "3810007345",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77903664",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000305761",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Visual Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Chase Wiler, APRN
• Presley Wiler
• Joy S Wilkes, M.A./CCC-S
• Debra J Wilks, APRN
• Jessica Lynn Wilks, LPCC
• William J Vanbeneden DO PLLC
• Brittany Nicole Williams, APRN
• Claudia Williams
• Cody Williams
• Cody A Williams, DO

• Vision Therapy Optometrist in Ashland, KY
• Providers in Ashland, KY by specialty
• Vision Therapy Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.