Individual provider Active NPI

Jeffrey M. McLeod, O.D.

  • Optometrist
  • Canton, OH
National Provider Identifier
1982602132
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4478/T1134 Issued in OH
Practice address
3730 Whipple Ave NW
Suite 100
Canton, OH 44718-4803
Phone
(330) 493-3013
Fax
(330) 493-3110
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4478/T1134 OH Primary
Corneal and Contact Management Optometrist 152WC0802X 4478/T1134 OH

Addresses

Primary practice location

3730 Whipple Ave NW
Suite 100
Canton, OH 44718-4803

Mailing address

3730 Whipple Ave NW
Suite 100
Canton, OH 44718-4803
Phone (330) 493-3013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20031220000007 OH Practitioner - Optometry 6305744905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3730 Whipple Ave NW
Suite 100
Canton, OH 44718-4803
Phone (330) 493-3013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4478/T1134OHMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Accent on Eyes, LLC Optometrist CurrentSince Sep 1, 2014 Accepting new patients
Canton Optometry Corporation Optometrist PastSince Jun 1, 1997 Accepting new patients
Fisher Foods Marketing Inc Past Accepting new patients
Accent on Eyes Inc Optometrist PastSince Sep 1, 2014 Accepting new patients

Locations

3730 Whipple Ave NW
Ste 100
Canton, OH 44718
Phone (330) 493-3013

Organizations & group practices 4

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1982602132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 WHIPPLE AVE NW",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184803",
            "telephone_number": "330-493-3013",
            "fax_number": "330-493-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 WHIPPLE AVE NW",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184803",
            "telephone_number": "330-493-3013",
            "fax_number": "330-493-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "JEFFREY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4478/T1134",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "4478/T1134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.