Individual provider Active NPI

Lara Leach, OD

  • Optometrist
  • Columbus, OH
National Provider Identifier
1801985148
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5399 Issued in OH
Practice address
180 Northwoods Blvd
Columbus, OH 43235-4400
Phone
(614) 739-0660
Fax
(614) 739-0661
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.005399 OH
Optometrist 152W00000X 5399 OH Primary

Addresses

Primary practice location

180 Northwoods Blvd
Columbus, OH 43235-4400

Mailing address

180 Northwoods Blvd
Columbus, OH 43235-4400
Phone (614) 739-0660

Other practice location 1

1599 W Lane Ave
Columbus, OH 43221-3924
Phone (146) 721-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090612000581 OH Practitioner - Optometry 4385673037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horvath Vision Care-Northwoods IncGroup PAC ID 6800284381, 6 clinicians

Practice addresses (Care Compare)

180 Northwoods Blvd
Columbus, OH 43235-4400
Phone (614) 880-9196

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5399OHMDOptometrist
OPT.005399OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Horvath Vision Care - Northwoods Inc Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Eye Care Specialists Northwest PLLC Optometrist PastSince Sep 1, 2000 Accepting new patients

Locations

180 Northwoods Blvd
Columbus, OH 43235
Phone (614) 739-0660

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1801985148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NORTHWOODS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354400",
            "telephone_number": "614-739-0660",
            "fax_number": "614-739-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NORTHWOODS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354400",
            "telephone_number": "614-739-0660",
            "fax_number": "614-739-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1599 W Lane Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432213924",
            "country_code": "US",
            "telephone_number": "146-721-4002",
            "fax_number": "614-721-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "LARA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.005399",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.