Active NPI
Adrianna L. Leppek, O.D.
- Optometrist
- Shelby TWP, MI
National Provider Identifier
1679793848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003765
- Practice address
- 45460 Market St
Shelby TWP, MI 48315-6224 - Phone
- (586) 580-2001
- NPI assigned
- Apr 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 4901003765 | MI | Primary |
Addresses
Primary practice location
45460 Market St
Shelby TWP, MI 48315-6224
Mailing address
5127 Montgomery Dr
Shelby Township, MI 48316-4121
Phone (586) 997-1249
Other practice location 1
30550 Stephenson Hwy
Madison Heights, MI 48071-1611
Phone (248) 616-0087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116000470 | MI | Practitioner - Optometry | 7315399318 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Shelby TWP, MI
- NPI 1447933866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1679793848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5127 MONTGOMERY DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483164121",
"telephone_number": "586-997-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45460 MARKET ST",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483156224",
"telephone_number": "586-580-2001"
}
],
"practiceLocations": [
{
"address_1": "30550 Stephenson Hwy",
"address_purpose": "LOCATION",
"city": "Madison Heights",
"state": "MI",
"postal_code": "480711611",
"country_code": "US",
"telephone_number": "248-616-0087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEPPEK",
"first_name": "ADRIANNA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.