TIMOTHY J LEAHY (NPI# 1629027958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629027958 |
| Entity Type | Individual |
| Full Name | TIMOTHY J LEAHY |
| Credential | O.D. |
| Practice Address |
201 N Madison St Pittsfield IL 62363-1447 |
| Practice Telephone | 2172854800 |
| Practice Fax Number | 2172854850 |
| Mailing Telephone | 2172854800 |
| Mailing Fax Number | 2172854850 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2000146553 | MO | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 046008656 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1629027958 | 05 | |
| IL | 1629027958 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003086265 | Timothy William Leahy | Social Worker | 284 Bacon St, Waltham, MA 02451-7521 | 2008-03-04 |
| Street Address |
201 N MADISON ST |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407147622 | Ophthalmology Consultants, LLC | Ophthalmology | 201 N Madison St, Pittsfield, IL 62363-1447 | 2011-04-21 |
| 1417135419 | International Eyecare Center, Inc | Eyewear Supplier (Equipment, not the service) | 201 N Madison St, Pittsfield, IL 62363-1447 | 2008-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073626644 | Charles Ira Mandel | Optometrist | 37 1/2 Cheshire Rd., Allendale Shopping Center, Pittsfield, MA 01201-3849 | 2006-08-16 |
| 1962464487 | Joseph D Hashim | Optometrist | 145 W Housatonic St, Pittsfield, MA 01201-6020 | 2006-04-03 |
| 1437124070 | Amanda N. Hale | Optometrist | 457 Dalton Ave, Pittsfield, MA 01201-2978 | 2006-02-17 |
| 1689653800 | Sara Jane Kleiner-goudey | Optometrist | 217 South St, Pittsfield, MA 01201-6837 | 2006-01-16 |
| 1407840309 | Flint C Reid | Optometrist | 453 Main Street, Pittsfield, ME 04967 | 2005-09-07 |
| 1598761595 | Michael C Parks | Optometrist | 16 Somerset Plz, Pittsfield, ME 04967-1334 | 2005-06-23 |
| 1407135130 | Hannibal Regional Healthcare System, Inc. | Optometrist | 101 E Washington St, Pittsfield, IL 62363-1436 | 2011-08-11 |
| 1942433321 | Gina Marie Reiners | Optometrist | 217 South St, Pittsfield, MA 01201-6837 | 2009-09-01 |
| 1538348495 | Mark A. Birrell | Optometrist | 555 Hubbard Ave, Pittsfield, MA 01201-3876 | 2007-10-29 |
| 1619034394 | Pittsfield Vision Associates, PC | Optometrist | 217 South St, Pittsfield, MA 01201-6837 | 2007-01-02 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.