Organization Active NPI

Dr Byron W Leeds OD PA

  • Corneal and Contact Management Optometrist
  • Orlando, FL
National Provider Identifier
1790066553
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3303 Issued in FL
Legal business name
DR BYRON W LEEDS OD PA
Practice address
11250 E Colonial Dr
Orlando, FL 32817-4537
Phone
(407) 249-8666
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Dr. Byron William Leeds, O.D.
Title
President
Phone
(407) 249-8666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 3303 FL Primary

Addresses

Primary practice location

11250 E Colonial Dr
Orlando, FL 32817-4537

Mailing address

2854 Palmetto Ridge PT
Oviedo, FL 32765-7370
Phone (407) 977-2821

National Provider Directory

National Provider Directory

Locations

11250 E Colonial Dr
Orlando, FL 32817
Phone (407) 249-8666

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1790066553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 PALMETTO RIDGE PT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657370",
            "telephone_number": "407-977-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174537",
            "telephone_number": "407-249-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BYRON W LEEDS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "LEEDS",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-249-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "3303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.