Leah Marie Colby, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2611 Issued in MN

Practice address

13900 Northdale Boulevard
Rogers, MN 55374-9317

Phone

(763) 428-3757

Fax

(763) 428-9820

NPI assigned

Aug 18, 2005

Last updated

Jan 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

D Stanton Enterprises LLCGroup PAC ID 6608964861, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• D. Stanton Enterprises, LLC

  dba EyeWest Vision Clinic & Optical

  • Optometrist
  • Rogers, MN
  • NPI 1063594109
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1942292727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26040 SYLVAN LAKE PKWY",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553748113",
            "telephone_number": "763-420-5614",
            "fax_number": "763-428-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 NORTHDALE BOULEVARD",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749317",
            "telephone_number": "763-428-3757",
            "fax_number": "763-428-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aeja Marie Carlson
• Jennifer L Carlson
• Carrie Anns Homecare Houses LLC
• Emily D Christianson
• David Clyne, RPH
• Paul Allen Colligan, DNP, CRNA, APRN, PHN
• Marion Conwell
• Rachel Annastasia Coulter
• Courage and Grace Counseling LLC
• Abigail Dawn Covington

• Optometrist in Rogers, MN
• Providers in Rogers, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.

Verify at the official NPI Registry.