Thomas A. Leavitt, OD
Optometrist in Medford, MA. Individual provider (NPI-1).
NPI number1295841856
StatusActive
Last updated in NPPESFeb 19, 2021
Details
- NPI
- 1295841856
- Entity type
- Individual (NPI-1)
- Name
- Thomas A. Leavitt
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2006
- Certification date
- Feb 19, 2021
- Last updated
- Feb 19, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3638 | MA | Yes |
Practice location
26 City Hall MallMedford, MA 02155-4754
Phone 781-306-5184 · Fax 781-306-5303
Mailing address
26 City Hall MallMedford, MA 02155-4754
Phone 781-306-5184 · Fax 781-306-5303
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Optometrist providers in Medford · All 1,385 providers in Medford
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