Active NPI
Josia D Leipholtz, OD
- Optometrist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2002015319
- Practice address
- 1410 Forum Katy Pkwy
Suite 100
Columbia, MO 65203 - Phone
- (573) 441-7070
- Fax
- (573) 441-2288
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- 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 | 2002015319 | MO | Primary |
Addresses
Primary practice location
1410 Forum Katy Pkwy
Suite 100
Columbia, MO 65203
Mailing address
1410 Forum Katy Pkwy
Suite 100
Columbia, MO 65203
Phone (573) 441-7070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237691805 | Other | MO | MBNDD |
| 2002015319 | Other | MO | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- University of Missouri St Louis - School of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 N Missouri St
Samaritan Hospital
Macon, MO 63552-2095
Phone (660) 385-8700
1410 Forum Katy Pkwy
Columbia, MO 65203-6583
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.15 of 100
- Quality
- 86.6
- Improvement activities
- 40
- Cost
- 78.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy D McGarity MD PC | Current | Accepting new patients | |
| Mercy Health Services, LLC | Optometrist | Past | Accepting new patients |
Locations
1410 Forum Katy Pkwy
Ste 100
Columbia, MO 65203
Phone (573) 441-7070
1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Columbia, MO
- NPI 1912299884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1922067644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 FORUM KATY PKWY",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65203",
"telephone_number": "573-441-7070",
"fax_number": "573-441-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 FORUM KATY PKWY",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65203",
"telephone_number": "573-441-7070",
"fax_number": "573-441-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIPHOLTZ",
"first_name": "JOSIA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2002015319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBNDD",
"identifier": "237691805",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2002015319",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.