Individual provider Active NPI

Ledia Samwil, OD

  • Optometrist
  • Indio, CA
National Provider Identifier
1043084007
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35602 Issued in CA
Practice address
82227 Highway 111
Ste B2
Indio, CA 92201
Phone
(760) 347-6636
Fax
(844) 833-6644
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 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 35602 CA Primary

Addresses

Primary practice location

82227 Highway 111
Ste B2
Indio, CA 92201

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

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
I20240207001229 CA Practitioner - Optometry 0244673275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Specialists Medical Group, Inc Optometrist CurrentSince Jan 1, 2024 Accepting new patients
California Eye Specialists Medical Group, Inc Current Accepting new patients
Athena Brasfield OD a Professional Corporation Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Eyecare Specialists Medical Group, Inc. Optometrist Past Accepting new patients
Mark a Gillispie O D Inc Optometrist Past Accepting new patients

Locations

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

52565 Harrison St
Ste 105
Coachella, CA 92236
Phone (760) 347-6636

8028 3rd St
Downey, CA 90241
Phone (562) 622-8700

82227 US Highway 111
Ste B2
Indio, CA 92201
Phone (760) 347-6636

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600

5991 E Spring St
Long Beach, CA 90808
Phone (562) 938-9945

229 E Beverly Blvd
Montebello, CA 90640
Phone (323) 728-5814

1595 E 17th St
Santa Ana, CA 92705
Phone (323) 728-7998

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

3655 Lomita Blvd
Ste 410
Torrance, CA 90505
Phone (310) 465-1920

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lsamwil@californiaeye.intellechartdirect.net
  • Direct secure messaging: ledia.samwil.p1@direct.atlantiseyecare.nextgenshare.com

Organizations & group practices 5

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": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1043084007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82227 HIGHWAY 111",
            "address_2": "STE B2",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-347-6636",
            "fax_number": "844-833-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMWIL",
        "first_name": "LEDIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.