Joshua Shane Leonard, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002342 Issued in AZ

Practice address

4022 E Broadway Rd Ste 104
Phoenix, AZ 85040-8824

Phone

(480) 508-2155

Fax

(877) 283-0573

NPI assigned

Jun 12, 2019

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Vision Care PLLCGroup PAC ID 9931553831, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Complete Vision Care PLLC

  • Optometrist
  • Apache Junction, AZ
  • NPI 1235823394
  Medicare reassignment Care Compare group NPD Authorized official
• Miles Eye Center PLLC

  • Ophthalmology Physician
  • Show Low, AZ
  • NPI 1285864652
  Medicare reassignment NPD
• Complete Vision Care PLLC

  • Optometrist
  • Globe, AZ
  • NPI 1497561195
  NPD Authorized official
• Eyes on Site PLLC

  dba Eye See

  • Optometrist
  • Mesa, AZ
  • NPI 1053043331
  NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1700445731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E LEAH LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342437",
            "telephone_number": "480-508-2155",
            "fax_number": "877-283-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 E BROADWAY RD STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408824",
            "telephone_number": "480-508-2155",
            "fax_number": "877-283-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "JOSHUA",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latisha Leonard Bernier, PA-C
• Tracy Anne Leonard-Warner, MT-BC
• Elise Egerter Leonard, MD
• Emily Ann Leonard, RN
• Helen Elizabeth Leonard, MC LPC NCC
• Katrina Leonard
• Meghan Kathleen Leonard, OTR/L
• Melissa Anne Leonard, P.A.-C
• Richard Jay Leonard, MD
• Tara Leonard, OTR/L

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.
• 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.

Verify at the official NPI Registry.