Active NPI
Christina N. Leitzel, BS BCO BADO
- Ocularist
- Portland, OR
National Provider Identifier
1689199317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- Practice address
- 2456 NW Northrup St Ste 1a
Portland, OR 97210-3253 - Phone
- (503) 229-8490
- Fax
- (503) 224-0740
- NPI assigned
- Aug 3, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | |||
| Ocularist | 156FX1700X | OR | Primary |
Addresses
Primary practice location
2456 NW Northrup St Ste 1a
Portland, OR 97210-3253
Mailing address
2456 NW Northrup St Ste 1a
Portland, OR 97210-3253
Phone (503) 229-8490
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01621900001 | Other | OR | REGENCE |
| 7760590001 | Other | OR | MEDICARE |
| 500647964 | Other | OR | OMAP |
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
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Ocular Prosthetics LLC | Ocularist | Current | Accepting new patients |
Locations
2456 NW Northrup St
Ste 1A
Portland, OR 97210
Phone (503) 222-1224
2525 NW Lovejoy St
Ste 306
Portland, OR 97210
Phone (503) 229-8490
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1689199317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2456 NW NORTHRUP ST STE 1A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103253",
"telephone_number": "503-229-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2456 NW NORTHRUP ST STE 1A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103253",
"telephone_number": "503-229-8490",
"fax_number": "503-224-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITZEL",
"first_name": "CHRISTINA",
"middle_name": "N.",
"credential": "BS BCO BADO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "01621900001",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "7760590001",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP",
"identifier": "500647964",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.