Individual provider Active NPI

Leonid Demihovsky, RDO

  • Optician
  • Worcester, MA
National Provider Identifier
1538510318
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
5477 Issued in MA
Practice address
42 Waterford Dr
Worcester, MA 01602-3509
Phone
(508) 319-1926
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 5477 MA Primary
Contact Lens Fitter 156FC0801X 5477 MA
Contact Lens Technician/Technologist 156FC0800X 5477 MA

Addresses

Primary practice location

42 Waterford Dr
Worcester, MA 01602-3509

Mailing address

42 Waterford Dr
Worcester, MA 01602-3509
Phone (508) 319-1926

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
D&M Optical & Hearing Aid Corp Contact Lens Past Accepting new patients
D&M Optical & Hearing Aid Corp Optician Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1538510318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WATERFORD DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023509",
            "telephone_number": "508-319-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WATERFORD DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023509",
            "telephone_number": "508-319-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIHOVSKY",
        "first_name": "LEONID",
        "credential": "RDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "5477",
            "primary": true
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "MA",
            "license": "5477",
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "MA",
            "license": "5477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.