Individual provider Active NPI

Mary Leong, O.D.

  • Optometrist
  • Brentwood, CA
National Provider Identifier
1003968249
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11914T Issued in CA
Practice address
3840 Balfour Rd Ste a
Brentwood, CA 94513-1641
Phone
(925) 513-0323
Fax
(925) 513-8649
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11914T CA Primary

Addresses

Primary practice location

3840 Balfour Rd Ste a
Brentwood, CA 94513-1641

Mailing address

3840 Balfour Rd Ste a
Brentwood, CA 94513-1641

Other practice location 1

5109 Lone Tree Way
Antioch, CA 94531-8484
Phone (925) 757-5560

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120703000237 CA Practitioner - Optometry 2567627284 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balfour Vision Optix Optometry IncGroup PAC ID 3375707276, 3 clinicians
Winson Ong ODGroup PAC ID 8820421993, 3 clinicians

Practice addresses (Care Compare)

3840 Balfour Rd
A
Brentwood, CA 94513-1641
Phone (925) 513-0323

5109 Lone Tree Way
Antioch, CA 94531-8484
Phone (925) 757-5577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11914TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Balfour Vision Optix Optometry Inc. Optometrist CurrentSince Jun 14, 2012 Accepting new patients
Permanente Medical Group, Inc CurrentSince Aug 5, 2012 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Permanente Medical Group Inc CurrentSince Aug 5, 2012 Accepting new patients
Diamond Valley Optometry Optometrist CurrentSince Jun 11, 2024 Accepting new patients
Winson Ong OD Optometrist CurrentSince Oct 1, 2019 Accepting new patients

Locations

4501 Sand Creek Rd
Antioch, CA 94531
Phone (925) 813-6420

5109 Lone Tree Way
Antioch, CA 94531
Phone (925) 757-5560

3840 Balfour Rd
#A
Brentwood, CA 94513
Phone (925) 513-0323

6500 Dublin Blvd
Ste F
Dublin, CA 94568
Phone (925) 828-7730

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1003968249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 BALFOUR RD STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 BALFOUR RD STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131641",
            "telephone_number": "925-513-0323",
            "fax_number": "925-513-8649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5109 Lone Tree Way",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945318484",
            "country_code": "US",
            "telephone_number": "925-757-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONG",
        "first_name": "MARY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11914T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.