Individual provider Active NPI

Leon Norse McLin Jr., OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1043885833
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE005270T Issued in PA
Practice address
711HPW/Rhdo
4141 Petroleum Road
San Antonio, TX 78234-2644
Phone
(210) 539-8202
Fax
(210) 539-7690
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE005270T PA Primary

Addresses

Primary practice location

711HPW/Rhdo
4141 Petroleum Road
San Antonio, TX 78234-2644

Mailing address

711 HPW/Rhdo
4141 Petroleum Rd
San Antonio, TX 78234-2644
Phone (210) 539-8202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OE005270TPAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1043885833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 HPW/RHDO",
            "address_2": "4141 PETROLEUM RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782342644",
            "telephone_number": "210-539-8202",
            "fax_number": "210-539-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711HPW/RHDO",
            "address_2": "4141 PETROLEUM ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782342644",
            "telephone_number": "210-539-8202",
            "fax_number": "210-539-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLIN",
        "first_name": "LEON",
        "middle_name": "NORSE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE005270T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.