Individual provider Active NPI

Terry R Leach, O.D.

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1992814404
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4416 Issued in OH
Practice address
1577 Goodman Ave Ste B
Cincinnati, OH 45224-1044
Phone
(513) 729-1321
Fax
(513) 729-2873
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4416 OH Primary

Addresses

Primary practice location

1577 Goodman Ave Ste B
Cincinnati, OH 45224-1044

Mailing address

2865 Chancellor Dr
Suite 215
Crestview Hills, KY 41017-3912
Phone (859) 344-2079

Other identifiers 1

IdentifierTypeStateIssuer
0095608MedicaidOH

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
I20111112000024 OH Practitioner - Optometry 4880709062 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4416OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Centers for Sight Inc Optometrist CurrentSince Jan 29, 2024 Accepting new patients
Tristate Centers for Sight, Inc. CurrentSince Jan 29, 2024 Accepting new patients
Tri-State Centers for Sight, Inc. Current Accepting new patients
Tri-State Centers for Sight Inc Past Accepting new patients

Locations

2865 Chancellor Dr
Ste 215
Crestview Hills, KY 41017
Phone (606) 341-6660

1060 Nimitzview Dr
Ste 105
Cincinnati, OH 45230
Phone (513) 232-2500

1577 Goodman Ave
Ste B
Cincinnati, OH 45224
Phone (513) 729-1321

8270 Pine Rd
Cincinnati, OH 45236
Phone (513) 791-5999

2135 Dana Ave
Ste 310
Cincinnati, OH 45207
Phone (513) 221-7788

8044 Montgomery Rd
Ste 155
Cincinnati, OH 45236
Phone (513) 731-7967

5520 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 389-9911

2055 Reading Rd
Ste 330
Cincinnati, OH 45202
Phone (513) 381-1900

8040 Hosbrook Rd
Ste 100
Cincinnati, OH 45236
Phone (513) 891-0473

7730 Montgomery Rd
Ste 120
Cincinnati, OH 45236
Phone (513) 791-5999

6779 Colerain Ave
Cincinnati, OH 45239
Phone (513) 741-1313

1017 Main St
Hamilton, OH 45013
Phone (513) 868-2181

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

5141 Morning Sun Rd
Oxford, OH 45056
Phone (513) 523-2123

12124 Sheraton Ln
Springdale, OH 45246
Phone (513) 381-1900

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Centers for Sight Inc 37 clinicians

Practice addresses (Care Compare)

6779 Colerain Ave
Cincinnati, OH 45239-5541
Phone (513) 741-1313

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1992814404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR",
            "address_2": "SUITE 215",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173912",
            "telephone_number": "859-344-2079",
            "fax_number": "859-581-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 GOODMAN AVE STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452241044",
            "telephone_number": "513-729-1321",
            "fax_number": "513-729-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "TERRY",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095608",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.