Thomas Leech, O.D.,P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1490T Issued in OR

Legal business name

THOMAS LEECH, O.D.,P.C.

Practice address

2282 NW Troost St Ste 104
Roseburg, OR 97470-6072

Phone

(541) 672-7428

Fax

(541) 672-7430

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Leech, O.D.NPI 1952378945

Title

Owner

Phone

(541) 672-7428

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Gene Leech, O.D.

  • Optometrist
  • Roseburg, OR
  • NPI 1952378945
  Medicare reassignment Authorized official
• Bex Shahi, O.D.

  • Optometrist
  • Roseburg, OR
  • NPI 1114378601
  Medicare reassignment NPD

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689883316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 NW TROOST ST STE 104",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706072",
            "telephone_number": "541-672-7428",
            "fax_number": "541-672-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 NW TROOST ST STE 104",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706072",
            "telephone_number": "541-672-7428",
            "fax_number": "541-672-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS LEECH, O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEECH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-672-7428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1490T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wellness Clinic
• Therapeutic Associates Inc (TAI Central Physical Therapy)
• Therapeutic Services LLC (Therapy Plus)
• Ginger Jean Thibedeau, LMT, MMP, #13728 ORE
• Thomas H Thompson MD PC
• Brandon Mark Thomas
• Brittnee Thomas
• Ian Andrew Thomas, FNP
• Laura Ann Thomas
• Lauren Anne Thomas

• Optometrist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.