Active NPI
Leon L Remis, M.D.
- Ophthalmology Physician
- Marblehead, MA
National Provider Identifier
1750325106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 43135
- Practice address
- 1 Widger Rd
#108
Marblehead, MA 01945-2146 - Phone
- (781) 631-8300
- Fax
- (781) 639-9017
- NPI assigned
- Jun 16, 2006
- Last updated
- Feb 21, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 43135 | MA | Primary |
Addresses
Primary practice location
1 Widger Rd
#108
Marblehead, MA 01945-2146
Mailing address
1 Widger Rd
#108
Marblehead, MA 01945-2146
Phone (781) 631-8300
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304694 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 9787216 | Medicaid | MA | |
| C04801 | Other | MA | BCBS INDIVIDUAL |
| 35119 | Other | MA | DAVIS VISION |
| 2063832 | Medicaid | MA | |
| 0804675 | Other | MA | UNITED |
| B20976001 | Other | MA | CIGNA |
| 15824 | Other | MA | HARVARD PILGRIM |
| M16651 | Other | MA | BCBS GROUP # |
| 180043848 | Other | MA | RAILROAD MEDICARE |
| 702233 | Other | MA | TUFTS/SECURE HORIZONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1750325106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WIDGER RD",
"address_2": "#108",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019452146",
"telephone_number": "781-631-8300",
"fax_number": "781-639-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WIDGER RD",
"address_2": "#108",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019452146",
"telephone_number": "781-631-8300",
"fax_number": "781-639-9017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMIS",
"first_name": "LEON",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "43135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "304694",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9787216",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "C04801",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "35119",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2063832",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "0804675",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B20976001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "15824",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "M16651",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180043848",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS/SECURE HORIZONS",
"identifier": "702233",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marblehead, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.