Individual provider Active NPI

J. Jeffrey Leinwand, O.D.

  • Optometrist
  • Clinton, NC
National Provider Identifier
1942204748
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0953 Issued in NC
Practice address
100 Warsaw Rd
Clinton, NC 28328-3520
Phone
(910) 592-3152
Fax
(910) 592-3153
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0953 NC Primary

Addresses

Primary practice location

100 Warsaw Rd
Clinton, NC 28328-3520

Mailing address

100 Warsaw Rd
Clinton, NC 28328-3520
Phone (910) 592-3152

Other identifiers 12

IdentifierTypeStateIssuer
561215293OtherNCCIGNA
NC0953OtherNCSUPERIOR VISION
561215293OtherNCNC HEALTH CHOICE
561215293OtherNCAETNA
NC0953OtherNCEYEMED
890912LMedicaidNC
0912LOtherNCBLUE CROSS BLUE SHIELD
10530OtherNCSPECTERA
17155OtherNCAVESIS
0905700002OtherNCPALMETTO SUPPLIER NUMBER
2256219OtherNCUNITED HEALTHCARE
561215293OtherNCVISION SERVICE PLAN

Other names 1

  • Dr. Jospeph Jeffrey Leinwand Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0953NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
S&S Optometric Services PLLC Optometrist Past Accepting new patients
Joseph J Leinwand OD Optometrist PastSince Jan 1, 1990 Accepting new patients
Joseph J. Leinwand PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1942204748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WARSAW RD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283520",
            "telephone_number": "910-592-3152",
            "fax_number": "910-592-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARSAW RD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283520",
            "telephone_number": "910-592-3152",
            "fax_number": "910-592-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEINWAND",
        "first_name": "J.",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "561215293",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "NC0953",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "561215293",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "561215293",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NC0953",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890912L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0912L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "10530",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "17155",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO SUPPLIER NUMBER",
            "identifier": "0905700002",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2256219",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "561215293",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSPEPH",
            "last_name": "LEINWAND",
            "middle_name": "JEFFREY",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.