Individual provider Active NPI

Deena F Leonard, MD

  • Ophthalmology Physician
  • Buffalo Grove, IL
National Provider Identifier
1720150303
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036086243 Issued in IL
Practice address
1120 W Lake Cook Rd Ste C
Buffalo Grove, IL 60089-1970
Phone
(847) 459-6060
Fax
(847) 459-9797
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 036086243 IL Primary

Addresses

Primary practice location

1120 W Lake Cook Rd Ste C
Buffalo Grove, IL 60089-1970

Mailing address

1120 W Lake Cook Rd Ste C
Buffalo Grove, IL 60089-1970
Phone (847) 459-6060

Other identifiers 1

IdentifierTypeStateIssuer
036086243MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dleonard237882@direct.myadvocateaurora.org Direct
FHIR URL https://epifhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111202000220 IL Practitioner - Ophthalmology 8820263841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Eye Care and Surgery LTDGroup PAC ID 6305826520, 8 clinicians

Practice addresses (Care Compare)

1120 -C W Lake Cook Rd
Buffalo Grove, IL 60089-1970

1120 W Lake Cook Rd
Suite C
Buffalo Grove, IL 60089-1970
Phone (847) 459-6060

1120 W Lake Cook Rd C
Buffalo Grove, IL 60089-1970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036086243ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eye Care & Surgery LTD Multi-Specialty CurrentSince Jan 3, 1996 Accepting new patients

Locations

1120 W Lake Cook Rd
Ste C
Buffalo Grove, IL 60089
Phone (847) 459-6060

Interoperability endpoints

  • Direct secure messaging: leonard@premiereyecare.imwdirect.com

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1720150303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LAKE COOK RD STE C",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891970",
            "telephone_number": "847-459-6060",
            "fax_number": "847-459-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LAKE COOK RD STE C",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891970",
            "telephone_number": "847-459-6060",
            "fax_number": "847-459-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "DEENA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036086243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086243",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dleonard237882@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1120 W Lake Cook Rd Ste C",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600891970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epifhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1120 W Lake Cook Rd Ste C",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600891970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.