DR. SUZETTE LEONARD (O.D.) – Optometrist, NPI 1982624631

DR. SUZETTE LEONARD (O.D.) is a healthcare provider. based in Wilsonville, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2845T (OR). The NPI Number for DR. SUZETTE LEONARD (O.D.) is 1982624631

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUZETTE LEONARD (O.D.)
NPI
1982624631
Phone
Not provided
Address
25796 SW CANYON CREEK RD APT D304
Enumeration Date
19 July 2006
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8008132000
Graduation Year
2001 (25 years ago)
PAC ID
0547307654
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20091022000177
Address ID
OR970158970CL10180RDXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

672 OPTOMETRY in OR

Provider Addresses for DR. SUZETTE LEONARD (O.D.)

  • 25796 SW CANYON CREEK RD APT D304

    WILSONVILLE, OR 970705629

    Phone:

    Type: Mailing

  • 831 LANCASTER DR NE STE 151

    SALEM, OR 973012869

    Phone: (503) 364-4896

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20091022000177IOptometryORTBD
I20091022000324IOptometryWATBD

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 97070)

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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: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
P A T H O L O G YWA
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA

Reviews

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Frequently asked questions

Is there an official ID for DR. SUZETTE LEONARD (O.D.) in U.S. healthcare records?
The official identifier for DR. SUZETTE LEONARD (O.D.) is NPI 1982624631.
Is DR. SUZETTE LEONARD (O.D.) shown as active in public data?
Registry records indicate DR. SUZETTE LEONARD (O.D.) maintains an active NPI.
How would a patient describe DR. SUZETTE LEONARD (O.D.)'s focus?
For DR. SUZETTE LEONARD (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SUZETTE LEONARD (O.D.)?
Directory geography for DR. SUZETTE LEONARD (O.D.) centers on Wilsonville, Oregon.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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