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WILLIAM E LEADINGHAM OD PSC NPI 1396856001


NPI Information

NPI: 1396856001
Provider Name: WILLIAM E LEADINGHAM, OD, PSC

Doing Business As: NEURO VISUAL REHABILITATION CENTER

Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
1330 CARTER AVE
ASHLAND, KY
ZIP 41101
Phone: (606) 329-8672
Get Directions

WILLIAM E LEADINGHAM, OD, PSC is a vision therapy optometrist in Ashland, KY. 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. WILLIAM E LEADINGHAM, OD, PSC NPI is 1396856001. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Neuro Visual Rehabilitation Center.

The provider's business location address is:

1330 CARTER AVE
ASHLAND, KY
ZIP 41101-544
Phone: (606) 329-8672
Fax: (606) 329-1258

The provider's authorized official is William E Leadingham .
The authorized official title is Owner and has the following contact phone number (606) 329-8672.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/1/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist748-DTKENTUCKYNo
2152W00000XOptometrist1659-DTKENTUCKYNo
3152WV0400XOptometristVision Therapy748-DTKENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000305761OTHERKENTUCKYANTHEM BLUE CROSS
24904360001MEDICARE NSC
33810007345OTHERWEST VIRGINIAWEST VIRGINIA MEDICAID
4DA4299MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYRAILROAD MEDICARE GROUP #
577903664MEDICAIDKENTUCKY

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

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