Joseph M Leppek O.D. PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004827 Issued in MI

Legal business name

JOSEPH M LEPPEK O.D. PLLC

Practice address

1425 N Leroy St
Fenton, MI 48430-2763

Phone

(810) 629-2041

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Joseph M Leppek, O.D.NPI 1225442759

Title

Optometrist

Phone

(810) 341-3900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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

• Joseph Matthew Leppek, O.D.

  • Optometrist
  • Fenton, MI
  • NPI 1225442759
  Medicare reassignment Care Compare group NPD Authorized official
• Gloria Stephanie Enriquez, O.D.

  • Optometrist
  • Fenton, MI
  • NPI 1255714150
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1508260852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9149 GREEN RD",
            "city": "GOODRICH",
            "state": "MI",
            "postal_code": "484389265",
            "telephone_number": "810-341-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302763",
            "telephone_number": "810-629-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M LEPPEK O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "LEPPEK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "810-341-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylayha D Jefferson
• Angela Jennings, LMT
• Jo Ann Johnson, D.O.
• Ashley Nicole Jones
• Grover Jones III
• Tejal Shah Joseph, M.D.
• Juan Alvarado OD PLLC
• Jessie Juhl, MA CCC-SLP
• Jennifer Justice, M.A. CCC-SLP
• Crystal Juliette Kania, LMSW

• Optometrist in Fenton, MI
• Providers in Fenton, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.