NPIMap

Organization Active NPI

Leadingham Vision Center LTD Co

  • Optometrist
  • Roswell, NM
National Provider Identifier
1952435133
Registry record updated Oct 21, 2013
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LEADINGHAM VISION CENTER LTD CO
Doing business as
Leadingham Vision Center
Practice address
1100 N. Main Street
Roswell, NM 88201
Phone
(575) 622-4250
Fax
(575) 622-5170
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Dr. Greg N Leadingham, O.D.
Title
Optometrist
Phone
(505) 622-4250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NM Primary

Addresses

Primary practice location

1100 N. Main Street
Roswell, NM 88201

Mailing address

1100 N. Main Street
Roswell, NM 88201
Phone (575) 622-4250

Other names 1

  • Leadingham Vision Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1952435133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N. MAIN STREET",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-622-4250",
            "fax_number": "575-622-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N. MAIN STREET",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-622-4250",
            "fax_number": "575-622-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADINGHAM VISION CENTER LTD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "LEADINGHAM",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "505-622-4250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leadingham Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.