Organization Active NPI

Leon L Remis MD PC

  • Ophthalmology Physician
  • Marblehead, MA
National Provider Identifier
1750429023
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
43135 Issued in MA
Legal business name
LEON L REMIS MD PC
Practice address
1 Widger Road
Suite 108
Marblehead, MA 01945
Phone
(781) 631-8300
Fax
(781) 639-9017
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Dr. Leon L Remis MD, MD
Title
MD President
Phone
(781) 631-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 43135 MA Primary

Addresses

Primary practice location

1 Widger Road
Suite 108
Marblehead, MA 01945

Mailing address

1 Widger Road
Suite 108
Marblehead, MA 01945
Phone (781) 631-8300

Other identifiers 2

IdentifierTypeStateIssuer
9787216MedicaidMA
M16651OtherMABCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1750429023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WIDGER ROAD",
            "address_2": "SUITE 108",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "01945",
            "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 ROAD",
            "address_2": "SUITE 108",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "01945",
            "telephone_number": "781-631-8300",
            "fax_number": "781-639-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON L REMIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "REMIS MD",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "781-631-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "43135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787216",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M16651",
            "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 Jan 7, 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.

Verify at the official NPI Registry.