Organization Active NPI

Robert E Leonard II MD PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Oklahoma City, OK
National Provider Identifier
1861918146
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
21825 Issued in OK
Legal business name
ROBERT E LEONARD II MD PLLC
Practice address
12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604
Phone
(405) 752-0717
Fax
(405) 752-0711
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Dr. Robert E Leonard, MD
Title
Owner
Phone
(405) 752-0717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X 21825 OK Primary

Addresses

Primary practice location

12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604

Mailing address

4808 Clipper Xing
Edmond, OK 73013-9008
Phone (405) 706-5731

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1861918146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 CLIPPER XING",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139008",
            "telephone_number": "405-706-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12318 SAINT ANDREWS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208604",
            "telephone_number": "405-752-0717",
            "fax_number": "405-752-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E LEONARD II MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-752-0717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OK",
            "license": "21825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.