Active NPI
Deena F Leonard, MD
- Ophthalmology Physician
- Buffalo Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036086243
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036086243 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036086243 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Eye Care & Surgery LTD | Multi-Specialty | Current | Accepting new patients |
Locations
1120 W Lake Cook Rd
Ste C
Buffalo Grove, IL 60089
Phone (847) 459-6060
Interoperability endpoints
- 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.
-
- Ophthalmology Physician
- Buffalo Grove, IL
- NPI 1306905005
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.