Active NPI
Marlen Leon, MD
- Ophthalmology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME115732
- Practice address
- 4708 S Florida Ave
Lakeland, FL 33813-2165 - Phone
- (863) 858-2020
- NPI assigned
- Jun 16, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 067673 | GA | |
| Ophthalmology Physician | 207W00000X | ME115732 | FL | Primary |
Addresses
Primary practice location
4708 S Florida Ave
Lakeland, FL 33813-2165
Mailing address
4708 S Florida Ave
Lakeland, FL 33813-2165
Phone (305) 878-3203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1243 Lakeland Hills Blvd
Lakeland, FL 33805-4673
Phone (863) 262-3111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115732 | FL | MD | Ophthalmology Physician |
| 067673 | GA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Ophthalmology | Current | Accepting new patients |
| The Eye Physicians of Pinellas, PA | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| The Eye Physicians of Pinellas, PA | Ophthalmology | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| The Eye Physicians of Pinellas, PA | Past | Accepting new patients |
Locations
4708 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-6455
1243 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 262-3111
1247 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-5604
148 13th St SW
Largo, FL 33770
Phone (727) 450-3030
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889
Interoperability endpoints
- marlen.leon.1@18417.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Ophthalmology Physician
- Largo, FL
- NPI 1114925153
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Durable Medical Equipment & Medical Supplies
- Lakeland, FL
- NPI 1790488013
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Ophthalmology Physician
- Atlanta, GA
- NPI 1992961403
-
- Ambulatory Surgical Clinic/Center
- Largo, FL
- NPI 1366710741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1699935320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4708 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132165",
"telephone_number": "305-878-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4708 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132165",
"telephone_number": "863-858-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "MARLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "067673",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME115732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.