Active NPI
Leanna Marie Dudley, O.D.
- Optometrist
- Lakewood, CO
National Provider Identifier
1821285016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2707
- Practice address
- 1450 Hoyt St
Lakewood, CO 80215-4763 - Phone
- (303) 433-3277
- Fax
- (303) 433-3278
- NPI assigned
- Oct 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 56007344 | NY | |
| Optometrist | 152W00000X | 2707 | CO | Primary |
Addresses
Primary practice location
1450 Hoyt St
Lakewood, CO 80215-4763
Mailing address
1450 Hoyt St
Lakewood, CO 80215-4763
Phone (303) 433-3277
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56007344 | NY | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1821285016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 HOYT ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802154763",
"telephone_number": "303-433-3277",
"fax_number": "303-433-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 HOYT ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802154763",
"telephone_number": "303-433-3277",
"fax_number": "303-433-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "LEANNA",
"middle_name": "MARIE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NY",
"license": "56007344",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.