Robert W Leitner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT000985 Issued in GA

Practice address

716 E 16TH Ave Ste C
Cordele, GA 31015-4517

Phone

(229) 273-2395

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Rincon, GA
  • NPI 1437294592
  Medicare reassignment Care Compare group NPD
• R W Leitner OD LLC

  • Optometrist
  • Cordele, GA
  • NPI 1134474174
  NPD Authorized official
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Woodstock, GA
  • NPI 1144684184
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695395A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willie Lee Lattimore, N.P.
• Dale M Lawson, MD
• Ireti Lawson
• Kinzie Jean Lee, DNP
• Marion O Lee Jr., MD
• Limbcare Prosthetics & Orthotics of Georgia Inc
• Elizabeth Pate Lomax, PT, DPT
• Anne Jennifer Lombardi, MD
• Bill Lawrence Lowe, OTR/L
• Lynn A Lyons, D.O.

• Optometrist in Cordele, GA
• Providers in Cordele, GA by specialty
• Optometrist in Georgia

• 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.

Verify at the official NPI Registry.