Active NPI
Leonard Dennis Quick, M.D.
- Ophthalmology Physician
- Mansfield, OH
National Provider Identifier
1780630137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35045242
- Practice address
- 466 S Trimble Rd
Mansfield, OH 44906-3416 - Phone
- (419) 756-8000
- Fax
- (419) 756-7100
- NPI assigned
- May 26, 2006
- 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 | 35045242 | OH | Primary |
Addresses
Primary practice location
466 S Trimble Rd
Mansfield, OH 44906-3416
Mailing address
466 S Trimble Rd
Mansfield, OH 44906-3416
Phone (419) 756-8000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4290005 | Other | OH | AETNA |
| 180012806 | Other | OH | RAIL ROAD MEDICARE |
| 0800239 | Other | OH | UNITED HEALTHCARE |
| 0551951 | Medicaid | OH | |
| 341171920003 | Other | OH | CIGNA |
| 000000128146 | Other | OH | ANTHEM BC/BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35045242 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Eye Associates, Inc. | Current | Accepting new patients | |
| Ohio Eye Optometric, LLC | Past | Accepting new patients |
Locations
466 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-8000
466 S Trimble Rd
Ste B
Mansfield, OH 44906
Phone (419) 756-8000
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Mansfield, OH
- NPI 1003855594
-
- Eyewear Supplier
- Mount Vernon, OH
- NPI 1295531481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1780630137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 S TRIMBLE RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063416",
"telephone_number": "419-756-8000",
"fax_number": "419-756-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 S TRIMBLE RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449063416",
"telephone_number": "419-756-8000",
"fax_number": "419-756-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUICK",
"first_name": "LEONARD",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35045242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4290005",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "180012806",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0800239",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0551951",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "341171920003",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000128146",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.