DR. WILLIAM E LEADINGHAM OD NPI 1073505814

NPI Information

NPI: 1073505814
Provider Name: DR. WILLIAM E LEADINGHAM, OD
Classification: Optometrist - 152WV0400X
Entity Type: Individual

Specialization: Vision Therapy

PECOS Registration: Yes

Address:
1330 CARTER AVE
STE 3
ASHLAND, KY
ZIP 41101
Phone: (606) 329-1258
Get Directions

DR. William E Leadingham, OD is a vision therapy optometrist in Ashland, KY with 55 years of experience. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DR. William E Leadingham, OD NPI is 1073505814. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:1969

The provider's business location address is:

1330 CARTER AVE
STE 3
ASHLAND, KY
ZIP 41101-544
Phone: (606) 329-1258
Fax: (606) 329-1258

The NPI 1073505814 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/18/2005 and was last updated on 12/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152W00000X	Optometrist		748-DT	KENTUCKY	No
2	152WS0006X	Optometrist	Sports Vision	748-DT	KENTUCKY	No
3	152WV0400X	Optometrist	Vision Therapy	748-DT	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4904360001	OTHER		OMERC
2	KY00748	OTHER		VISION BENEFITS OF AMER.
3	T54638	MEDICARE UPIN
4	000000305764	OTHER	KENTUCKY	ANTHEM BLUECROSS
5	0149565-001	OTHER	WEST VIRGINIA	MEDICAID
6	181142	OTHER		NATIONAL VISION ADMIN.
7	DA4299	OTHER		RAILROAD MEDICARE (GROUP)
8	P00058622	OTHER		RAILROAD MEDICARE
9	0785901	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
10	77903664	MEDICAID	KENTUCKY
11	0005282086	OTHER		AETNA
12	2202261	OTHER		UNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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