Individual provider Active NPI

Nicholas Leone, M.D.

  • Ophthalmology Physician
  • Clinton Township, MI
National Provider Identifier
1487735858
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301057966 Issued in MI
Practice address
39400 Garfield Rd
Suite 103
Clinton Township, MI 48038-4096
Phone
(586) 286-6550
Fax
(586) 286-1843
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301057966 MI Primary

Addresses

Primary practice location

39400 Garfield Rd
Suite 103
Clinton Township, MI 48038-4096

Mailing address

39400 Garfield Rd
Suite 103
Clinton Township, MI 48038-4096
Phone (586) 286-6550

Other identifiers 2

IdentifierTypeStateIssuer
1805018242OtherMIBCBS PIN
OEO1563OtherMIBLUE CROSS GROUP ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728001429 MI Practitioner - Ophthalmology 7810967742 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39400 Garfield Rd
Suite 103
Clinton Township, MI 48038-4096
Phone (586) 286-6550

Hospital & facility affiliations

  • McKenzie Health System Hospital, Sandusky, MI, CCN 231314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301057966MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turner Eye Care PLLC Ophthalmology CurrentSince Jul 17, 2022 Accepting new patients
Nicholas Leone, M.D., P.C. Ophthalmology CurrentSince May 17, 2004 Accepting new patients
McKenzie Memorial Hospital Past Accepting new patients

Locations

1040 S Van Dyke Rd
Ste 3
Bad Axe, MI 48413
Phone (517) 269-9855

411 S State St
Caro, MI 48723
Phone (989) 673-1677

39400 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-6550

444 W Sanilac Rd
Sandusky, MI 48471
Phone (810) 648-4242

Interoperability endpoints

  • Direct secure messaging: nleone248882@direct.hfhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487735858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 103",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-6550",
            "fax_number": "586-286-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 103",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-6550",
            "fax_number": "586-286-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONE",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301057966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "1805018242",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP ID",
            "identifier": "OEO1563",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.