Vicki Leung, O.D., a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VICKI LEUNG, O.D., A PROFESSIONAL CORPORATION

Practice address

2845 Cochran St Ste D
Simi Valley, CA 93065-7902

Phone

(805) 527-6824

Fax

(805) 527-9247

NPI assigned

Oct 17, 2018

Organization subpart

No

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

Authorized official

Name

Vicki Leung, ODNPI 1669690228

Title

Owner

Phone

(805) 527-6824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicki Leung, O.D.

  • Optometrist
  • Woodland Hills, CA
  • NPI 1669690228
  Medicare reassignment Care Compare group Authorized official
• Joanne Pamela Parungao, O.D.

  • Optometrist
  • Simi Valley, CA
  • NPI 1386897130
  Medicare reassignment Care Compare group
• Jonathan Mak, OD

  • Optometrist
  • Ventura, CA
  • NPI 1891219846
  Medicare reassignment

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1104392091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 COCHRAN ST STE D",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657902",
            "telephone_number": "805-527-6824",
            "fax_number": "805-527-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 COCHRAN ST STE D",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657902",
            "telephone_number": "805-527-6824",
            "fax_number": "805-527-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI LEUNG, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-527-6824",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Verma
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• Lydia M Vetkos
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• Ryan Tait Vickers, PA-C, MMS
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• Leah Marie Vigliotto
• Vijay K Garg Inc
• Vijay Kumar MD Medical Corporation

• Optometrist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.