Individual provider Active NPI

Steven James Leighton

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1982607412
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1443 Issued in NC
Practice address
7148 Lawyers Rd
Charlotte, NC 28227-3906
Phone
(704) 535-9252
Fax
(704) 535-6634
NPI assigned
May 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1443 NC Primary

Addresses

Primary practice location

7148 Lawyers Rd
Charlotte, NC 28227-3906

Mailing address

7148 Lawyers Rd
Charlotte, NC 28227-3906
Phone (704) 535-9252

Other identifiers 1

IdentifierTypeStateIssuer
890980BMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070726000438 NC Practitioner - Optometry 9234230814 Practice locations: Mint Hill, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0959NCMDCognitive & Behavioral Psychologist
1443NCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1982607412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7148 LAWYERS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273906",
            "telephone_number": "704-535-9252",
            "fax_number": "704-535-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7148 LAWYERS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273906",
            "telephone_number": "704-535-9252",
            "fax_number": "704-535-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGHTON",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890980B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.