Active NPI
Robert W Leitner, O.D.
- Optometrist
- Cordele, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000985
- Practice address
- 716 E 16TH Ave Ste C
Cordele, GA 31015-4517 - Phone
- (229) 273-2395
- NPI assigned
- Jun 21, 2005
- Last updated
- Sep 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT000985 | GA | Primary |
Addresses
Primary practice location
716 E 16TH Ave Ste C
Cordele, GA 31015-4517
Mailing address
3526 Wexford Dr
Albany, GA 31721-2020
Phone (229) 888-3298
Other practice location 1
2610 Dawson Rd
Albany, GA 31707-1682
Phone (229) 439-4687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15196 US Hwy 19 S
Thomasville, GA 31757-4820
Phone (229) 228-4770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT000985 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R W Leitner OD LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
Locations
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
716 E 16th Ave
Ste C
Cordele, GA 31015
Phone (229) 273-2376
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1841295367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3526 WEXFORD DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317212020",
"telephone_number": "229-888-3298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E 16TH AVE STE C",
"city": "CORDELE",
"state": "GA",
"postal_code": "310154517",
"telephone_number": "229-273-2395"
}
],
"practiceLocations": [
{
"address_1": "2610 Dawson Rd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "GA",
"postal_code": "317071682",
"country_code": "US",
"telephone_number": "229-439-4687",
"fax_number": "229-435-5963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEITNER",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordele, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.