Individual provider Active NPI

Benjamin Hughston Leishman, OD

  • Optometrist
  • Sandy, UT
National Provider Identifier
1942438015
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
76555999934 Issued in UT
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000657 UT Practitioner - Optometry 0244382711 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76555999934UTMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Cory B. Seitz O.D.,P.C. Optometrist CurrentSince Sep 20, 2020 Accepting new patients
Claritas Vision Care P.C. Optometrist CurrentSince Sep 1, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.