Individual provider Active NPI

H Chapman Leffingwell, O.D.

  • Optometrist
  • New Berlin, WI
National Provider Identifier
1548234123
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2312-35 Issued in WI
Practice address
14151 W National Ave
New Berlin, WI 53151-4528
Phone
(414) 541-2100
Fax
(414) 541-2377
NPI assigned
Feb 13, 2006
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2312-35 WI Primary
Occupational Vision Optometrist 152WX0102X 2312 WI

Addresses

Primary practice location

14151 W National Ave
New Berlin, WI 53151-4528

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

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

LicenseStateTypeSpecialty
2312-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Memorial Hospital Incorporated CurrentSince Jul 7, 2020 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Jun 17, 2019 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Jun 17, 2019 Accepting new patients

Locations

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

2305 30th Ave
Kenosha, WI 53144
Phone (262) 597-2020

14151 W National Ave
New Berlin, WI 53151
Phone (414) 541-2100

2400 S 102nd St
West Allis, WI 53227
Phone (414) 541-2100

2400 S 102nd St
Ste 102
West Allis, WI 53227
Phone (414) 336-3000

Organizations & group practices 5

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1548234123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14151 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514528",
            "telephone_number": "414-541-2100",
            "fax_number": "414-541-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFINGWELL",
        "first_name": "H",
        "middle_name": "CHAPMAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2312-35",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "WI",
            "license": "2312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.