Individual provider Active NPI

Mark Steven Leone, OD

  • Optometrist
  • East Liverpool, OH
National Provider Identifier
1922836899
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT007314 Issued in OH
Practice address
15655 State Route 170 Ste P
East Liverpool, OH 43920-9672
Phone
(330) 385-3898
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT007314 OH Primary

Addresses

Primary practice location

15655 State Route 170 Ste P
East Liverpool, OH 43920-9672

Mailing address

6700 Appleridge Cir
Boardman, OH 44512-4914
Phone (330) 774-5882

Other practice location 1

6006 Mahoning Ave Ste D
Austintown, OH 44515-2239
Phone (330) 797-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241022001792 OH Practitioner - Optometry 1153853684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Ronald L. Detwiler, O.D. Inc.Group PAC ID 4688756018, 5 clinicians
Optical Solutions 2 LLCGroup PAC ID 4688987225, 4 clinicians

Practice addresses (Care Compare)

15655 State Route 170
Suite P
East Liverpool, OH 43920-9672
Phone (330) 385-3898

6006 Mahoning Ave
Austintown, OH 44515-2239
Phone (330) 797-8780

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ronald L. Detwiler, O.D. Inc. Optometrist CurrentSince Feb 24, 2025 Accepting new patients
Optical Solutions 2 LLC Optometrist CurrentSince Sep 6, 2024 Accepting new patients
Optical Solutions 3 LLC Optometrist PastSince Jul 28, 2024 Accepting new patients
Opticalsolutions Optometrist PastSince Sep 6, 2024 Accepting new patients

Locations

15655 State Route 170
Ste P
East Liverpool, OH 43920
Phone (330) 385-3895

6006 Mahoning Ave
Youngstown, OH 44515
Phone (330) 797-8780

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1922836899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 APPLERIDGE CIR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124914",
            "telephone_number": "330-774-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 STATE ROUTE 170 STE P",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209672",
            "telephone_number": "330-385-3898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6006 Mahoning Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445152239",
            "country_code": "US",
            "telephone_number": "330-797-8780",
            "fax_number": "330-797-0268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONE",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT007314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.