LESLIE ANN CALLAWAY (OD) – Optometrist, NPI 1861986937

LESLIE ANN CALLAWAY (OD) is a healthcare provider. based in Melbourne, Florida. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 18004102B (IN). The NPI Number for LESLIE ANN CALLAWAY (OD) is 1861986937

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE ANN CALLAWAY (OD)
NPI
1861986937
Phone
(765) 506-7621
Address
4513 CANARD RD
Enumeration Date
21 June 2018
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
3219843200
Graduation Year
2018 (8 years ago)
PAC ID
9436405529
Group Practice PAC ID
7719884576
Professional Enrollment ID
I20190910002874
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

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Provider Addresses for LESLIE ANN CALLAWAY (OD)

  • 4513 CANARD RD

    MELBOURNE, FL 329348554

    Phone: (765) 506-7621

    Type: Mailing

  • 665, South Apollo Boulevard, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 329011485

    Phone: (321) 984-3200

    Fax: (321) 984-0032

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Alcon Vision LLC ($93).

Total Amount

$93

General + Research + Ownership

Payments

3

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$93
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190910002874IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32934)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719884576View full group profile
NameSpecialtyState
O P T O M E T R YFL
Physician AssistantMA
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

Is LESLIE ANN CALLAWAY (OD) listed with a National Provider Identifier?
Yes — LESLIE ANN CALLAWAY (OD) has NPI 1861986937 on file in the registry.
Active or inactive — what applies to LESLIE ANN CALLAWAY (OD)?
You should see LESLIE ANN CALLAWAY (OD) as active in CMS-hosted NPPES data.
What expertise is attributed to LESLIE ANN CALLAWAY (OD)?
LESLIE ANN CALLAWAY (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Florida is LESLIE ANN CALLAWAY (OD) registered?
Use Melbourne, Florida as the headline location for LESLIE ANN CALLAWAY (OD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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