Active NPI
Jenna Nicole Leber, O.D.
- Optometrist
- Buffalo, NY
National Provider Identifier
1518213420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV-007838
- Practice address
- 3495 Bailey Ave
Eye Clinic - 6D
Buffalo, NY 14215 - Phone
- (631) 261-4400
- NPI assigned
- Jul 29, 2012
- Last updated
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TUV-007838-1 | NY | |
| Optometrist | 152W00000X | TUV-007838 | NY | Primary |
Addresses
Primary practice location
3495 Bailey Ave
Eye Clinic - 6D
Buffalo, NY 14215
Mailing address
3495 Bailey Ave
Eye Clinic - 6D
Buffalo, NY 14215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007838 | NY | MD | Registered Dietitian |
| TUV-007838 | NY | MD | Optometrist |
| TUV-007838-1 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1518213420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 BAILEY AVE",
"address_2": "EYE CLINIC - 6D",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 BAILEY AVE",
"address_2": "EYE CLINIC - 6D",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14215",
"telephone_number": "631-261-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBER",
"first_name": "JENNA",
"middle_name": "NICOLE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-29",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "TUV-007838-1",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV-007838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
- Roxceene Carol Leanos, RN
- Learning Disabilities Association of Western New York (Beyond Support Network)
- Colleen Marie Leary, OCCUPATIONAL THERAPI
- Hannah Lease, MD
- Kathryn Marie Leavitt, LMSW
- Daniel Leberer, M.D.
- Wilson I Lebita, P.T.
- Laura L Lechner, OTR
- John Leddy, MD
- Lee M. Faver PHD Psychologist PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.