Individual provider Active NPI

Elizabeth K McLeod, MD

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1518969112
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME49052 Issued in FL
Practice address
3020 Hartley Rd Ste 190
Jacksonville, FL 32257
Phone
(904) 292-2020
Fax
(904) 292-2044
NPI assigned
Aug 12, 2005
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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 ME49052 FL Primary

Addresses

Primary practice location

3020 Hartley Rd Ste 190
Jacksonville, FL 32257

Mailing address

1400 US Highway 1 S
St Augustine, FL 32084-4211
Phone (904) 829-2286

Other practice location 1

751 Oak St Ste 200
Jacksonville, FL 32204-3361
Phone (904) 829-2286 ext. 211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101101000233 FL Practitioner - Ophthalmology 2769676048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Virginia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Levenson Eye Associates IncGroup PAC ID 4082764089, 9 clinicians

Practice addresses (Care Compare)

751 Oak St
Suite 200
Jacksonville, FL 32204-3361
Phone (904) 366-3781

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME49052FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Levenson Eye Associates, Inc. Ophthalmology CurrentSince Jan 24, 2018 Accepting new patients

Locations

3020 Hartley Rd
Ste 190
Jacksonville, FL 32257
Phone (904) 292-2020

751 Oak St
Ste 200
Jacksonville, FL 32204
Phone (904) 366-3781

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1518969112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844211",
            "telephone_number": "904-829-2286",
            "fax_number": "904-810-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HARTLEY RD STE 190",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "904-292-2020",
            "fax_number": "904-292-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Oak St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322043361",
            "country_code": "US",
            "telephone_number": "904-829-2286 x211",
            "fax_number": "904-810-5687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "ELIZABETH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME49052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.