Avery Alexander Leysen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618003017 Issued in VA

Practice address

611 Watkins Centre Pkwy Ste 100
Midlothian, VA 23114-4404

Phone

(804) 287-4200

NPI assigned

Jun 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Surgeons of Richmond IncGroup PAC ID 5799778320, 44 clinicians

Michael J. Collins, Jr, MD, PAGroup PAC ID 1456320704, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.26 of 100Reported as group

Quality

81.98

Promoting interoperability

99

Improvement activities

40

Cost

66.39

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AICDBD

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.

• Eye Surgeons of Richmond, Inc.

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1669480448

  Optometrist

  Medicare reassignment Care Compare group NPD
• Michael J. Collins, Jr, MD, PA

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1982649083
  Medicare reassignment Care Compare group NPD
• Eye Surgeons of Richmond, Inc.

  • Eyewear Supplier
  • Richmond, VA
  • NPI 1033625744
  NPD
• Eye Surgeons of Richmond, Inc.

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1699270496
  NPD
• Virginia Eye Institute Inc

  • Ambulatory Surgical Clinic/Center
  • Richmond, VA
  • NPI 1053336602
  NPD (past)

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1629644638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WATKINS CENTRE PKWY STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144404",
            "telephone_number": "804-287-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WATKINS CENTRE PKWY STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144404",
            "telephone_number": "804-287-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYSEN",
        "first_name": "AVERY",
        "middle_name": "ALEXANDER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnay Sierra Lewis, LPC
• Michael Lewis
• Richard Gordon Lewis Jr., MD
• Christopher A Lewit, LMT
• Lawrence Michael Lewkow, M.D.
• Lisa Anne Lickers
• Life Balance Rehabilitation
• Life Over Pain Neuropathy Center LLC
• Life Space Therapy Services, PLLC
• Lifestyle Support Homes Inc

• Optometrist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.