NPIMap

Organization Active NPI

Gregory S. Leet, O.D., P.C.

Doing business as Leet EyeCare

  • Optometrist
  • Cape Girardeau, MO
National Provider Identifier
1881734804
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GREGORY S. LEET, O.D., P.C.
Doing business as
Leet EyeCare
Practice address
3230 Blattner Dr.
Cape Girardeau, MO 63703-6380
Phone
(573) 334-2020
Fax
(573) 334-2915
NPI assigned
Feb 7, 2007
Last updated
Aug 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Mrs. Kim Thoma
Title
Financial Manager
Phone
(573) 334-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3230 Blattner Dr.
Cape Girardeau, MO 63703-6380

Mailing address

3230 Blattner Dr.
Cape Girardeau, MO 63703-6380
Phone (573) 334-2020

Other names 1

  • Leet EyeCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070222000544 MO Part B Supplier - Clinic/Group Practice 5496857443 Receives reassigned benefits from 9 practitioners
Practice locations: Cape Girardeau, MO; Jackson, MO; Perryville, MO
O20100930044890 MO DME Supplier - Physician - Optometrist 5496857443 Practice locations: Cape Girardeau, MO

National Provider Directory

National Provider Directory

Locations

856 N Kingshighway St
Cape Girardeau, MO 63701
Phone (573) 334-0828

3140 Blattner Dr
Cpe Girardeau, MO 63703
Phone (573) 334-2020

1014 E Jackson Blvd
Jackson, MO 63755
Phone (573) 243-2020

2110 E Jackson Blvd
Jackson, MO 63755
Phone (314) 334-2020

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1881734804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 BLATTNER DR.",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036380",
            "telephone_number": "573-334-2020",
            "fax_number": "573-334-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 BLATTNER DR.",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036380",
            "telephone_number": "573-334-2020",
            "fax_number": "573-334-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY S. LEET, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "THOMA",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "573-334-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leet EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.