Organization Active NPI

Leader Eye Associates Inc

  • Optometrist
  • Rowley, MA
National Provider Identifier
1538514534
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3521 Issued in MA
Legal business name
LEADER EYE ASSOCIATES INC
Practice address
319 Newburyport Tpke
Rowley, MA 01969-1753
Phone
(978) 948-2293
Fax
(978) 948-7758
NPI assigned
Apr 27, 2016
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Dr. Susan B Leader, ODNPI 1194816009
Title
President
Phone
(978) 948-2293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3521 MA Primary

Addresses

Primary practice location

319 Newburyport Tpke
Rowley, MA 01969-1753

Mailing address

61 Stillman Rd
Lynnfield, MA 01940-1704
Phone (978) 948-2293

Other names 1

  • SUSAN B LEADER OD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160617001012 MA Part B Supplier - Clinic/Group Practice 3779874946 Receives reassigned benefits from 2 practitioners
Practice locations: Rowley, MA

National Provider Directory

National Provider Directory

Locations

319 Newburyport Tpke
Rowley, MA 01969
Phone (978) 948-2293

319 Newburyport Tpke
Ste 106
Rowley, MA 01969
Phone (978) 948-2293

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1538514534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 STILLMAN RD",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401704",
            "telephone_number": "978-948-2293",
            "fax_number": "978-948-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 NEWBURYPORT TPKE",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691753",
            "telephone_number": "978-948-2293",
            "fax_number": "978-948-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADER EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "LEADER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-948-2293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUSAN B LEADER OD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rowley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.