Individual provider Active NPI

Danielle Gonzalez Ledet, OD

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1700147576
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2941 Issued in OK
Practice address
1654 Gadsden Hwy
Birmingham, AL 35235-3104
Phone
(205) 655-9452
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-C85 AL
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2941 OK Primary

Addresses

Primary practice location

1654 Gadsden Hwy
Birmingham, AL 35235-3104

Mailing address

7104 S Sheridan Rd Ste 4
Tulsa, OK 74133-2765
Phone (918) 496-2900

Other identifiers 1

IdentifierTypeStateIssuer
200830040AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manager@perinieyecare.com Direct Perini Eyecare, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190520002632 OK Practitioner - Optometry 4981947637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perini Eyecare PLLCGroup PAC ID 2062796659, 3 clinicians

Practice addresses (Care Compare)

4002 S Yale Ave
Suite B
Tulsa, OK 74135-6070
Phone (918) 663-3937

7104 S Sheridan Rd
Suite 4
Tulsa, OK 74133-2765
Phone (918) 496-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-C85ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perini Eyecare, PLLC Optometrist CurrentSince Sep 15, 2019 Accepting new patients

Locations

4002 S Yale Ave
Tulsa, OK 74135
Phone (918) 663-3937

4002 S Yale Ave
Ste B
Tulsa, OK 74135
Phone (918) 663-3937

7104 S Sheridan Rd
Ste 4
Tulsa, OK 74133
Phone (918) 496-2900

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1700147576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 S SHERIDAN RD STE 4",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332765",
            "telephone_number": "918-496-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 GADSDEN HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353104",
            "telephone_number": "205-655-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDET",
        "first_name": "DANIELLE",
        "middle_name": "GONZALEZ",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C85",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200830040A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manager@perinieyecare.com",
            "affiliation": "Y",
            "endpointDescription": "Location Email",
            "affiliationName": "Perini Eyecare, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7104 S Sheridan Rd Ste 4",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741332765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.