Individual provider Active NPI

John C Leadingham, OD

  • Optometrist
  • Ashland, KY
National Provider Identifier
1891762514
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1659-DT Issued in KY
Practice address
1330 Carter Ave
Ashland, KY 41101-7544
Phone
(606) 325-9659
Fax
(606) 329-1258
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1659-DT KY Primary

Addresses

Primary practice location

1330 Carter Ave
Ashland, KY 41101-7544

Mailing address

PO Box 1069
Ashland, KY 41105-1069
Phone (606) 325-9659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20060216000042 KY Practitioner - Optometry 1850306580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leadingham Eye Care Center - AshlandGroup PAC ID 8426229030, 2 clinicians

Practice addresses (Care Compare)

1330 Carter Ave
Suite 1
Ashland, KY 41101-7544
Phone (606) 325-9659

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1659-DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Leadingham Eye Care Center - Ashland Optometrist CurrentSince Aug 12, 2011 Accepting new patients

Locations

1330 Carter Ave
Ashland, KY 41101
Phone (606) 325-9659

1330 Carter Ave
Ste 1
Ashland, KY 41101
Phone (606) 325-9659

1330 Carter Ave
Ste 3
Ashland, KY 41101
Phone (606) 325-8672

1330 Carter Ave
#3
Ashland, KY 41101
Phone (606) 325-8672

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1891762514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1069",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051069",
            "telephone_number": "606-325-9659",
            "fax_number": "606-329-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017544",
            "telephone_number": "606-325-9659",
            "fax_number": "606-329-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADINGHAM",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1659-DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.