Active NPI
Ronald Norman Leavitt, O.D.
- Optometrist
- Fort Carson, CO
National Provider Identifier
1588644900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 5025
- Practice address
- 1650 Cocrane Circle
Meddac Optometry Clinic
Ft Carson, CO 80913 - Phone
- (719) 526-7462
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 5025 | CA | Primary |
Addresses
Primary practice location
1650 Cocrane Circle
Meddac Optometry Clinic
Ft Carson, CO 80913
Mailing address
3302 Birnamwood Dr
Colorado Springs, CO 80920-7330
Phone (719) 282-1807
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 5025 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1588644900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 BIRNAMWOOD DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207330",
"telephone_number": "719-282-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCRANE CIRCLE",
"address_2": "MEDDAC OPTOMETRY CLINIC",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-7462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "RONALD",
"middle_name": "NORMAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 5025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.