Active NPI
Benjamin Hughston Leishman, OD
- Optometrist
- Sandy, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 76555999934
- Practice address
- 9565 S 700 E Ste 101
Sandy, UT 84070-3482 - Phone
- (801) 572-3937
- NPI assigned
- Jun 29, 2009
- Last updated
- Mar 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 76555999934 | UT | |
| Occupational Vision Optometrist | 152WX0102X | 76555999934 | UT | |
| Optometrist | 152W00000X | 76555999934 | UT | Primary |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 76555999934 | UT | |
| Pediatric Optometrist | 152WP0200X | 76555999934 | UT | |
| Sports Vision Optometrist | 152WS0006X | 76555999934 | UT | |
| Corneal and Contact Management Optometrist | 152WC0802X | 76555999934 | UT |
Addresses
Primary practice location
9565 S 700 E Ste 101
Sandy, UT 84070-3482
Mailing address
9565 S 700 E Ste 101
Sandy, UT 84070-3482
Phone (385) 202-3937
Other practice location 1
1025 E 11400 S Ste 104
Sandy, UT 84094-6947
Phone (385) 202-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- 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
- Southern California College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9565 S 700
Suite 101
Sandy, UT 84070-3482
Phone (801) 572-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76555999934 | UT | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Cory B. Seitz O.D.,P.C. | Optometrist | Current | Accepting new patients |
| Claritas Vision Care P.C. | Optometrist | Current | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Granger Medical Specialists LLC | Past | Accepting new patients | |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
Locations
37 E 100 N
Heber City, UT 84032
Phone (435) 219-0033
1025 E 11400 S
Ste 104
Sandy, UT 84094
Phone (385) 202-3937
9565 S 700 E
Ste 101
Sandy, UT 84070
Phone (801) 572-3937
Interoperability endpoints
- drbenleishman@direct.revolutionehr.com
Organizations & group practices 10
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1942438015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9565 S 700 E STE 101",
"city": "SANDY",
"state": "UT",
"postal_code": "840703482",
"telephone_number": "385-202-3937",
"fax_number": "385-212-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9565 S 700 E STE 101",
"city": "SANDY",
"state": "UT",
"postal_code": "840703482",
"telephone_number": "801-572-3937"
}
],
"practiceLocations": [
{
"address_1": "1025 E 11400 S Ste 104",
"address_purpose": "LOCATION",
"city": "Sandy",
"state": "UT",
"postal_code": "840946947",
"country_code": "US",
"telephone_number": "385-202-3937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEISHMAN",
"first_name": "BENJAMIN",
"middle_name": "HUGHSTON",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "UT",
"license": "76555999934",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "UT",
"license": "76555999934",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "76555999934",
"primary": true
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "UT",
"license": "76555999934",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "UT",
"license": "76555999934",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "UT",
"license": "76555999934",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "UT",
"license": "76555999934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.