Leslie A. Bacani, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34729 Issued in CA

Practice address

2270 Clovis Ave
Clovis, CA 93612-3915

Phone

(559) 712-7878

NPI assigned

Nov 29, 2020

Last updated

Nov 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David B Rosenblum O D Inc

  dba Eyesite Optometry

  • Optometrist
  • Cerritos, CA
  • NPI 1720239288
  Medicare reassignment NPD
• Nusite Optometry

  dba Eyesite Optometry

  • Optometrist
  • Newport Beach, CA
  • NPI 1396636932
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1003410234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E POWERS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 CLOVIS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123915",
            "telephone_number": "559-712-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACANI",
        "first_name": "LESLIE",
        "middle_name": "A.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yisel Ayon-Astorga
• Mark Ayoub, MD
• Leyla Mohassessy Azmoun, M.D.
• Jerrica Lee Shelby Babb
• Michael Anthony Bacallao, LMSW, LCSW
• Sherie Rose Tayamen Bacarisa
• Khoeun Chhan Baeza
• Jennifer Irene Bague, LCSW
• Karla Bague
• Jadd Essam Bahaaldin

• Optometrist in Clovis, CA
• Providers in Clovis, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.