Kali Javon Leonard, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA 12887T Issued in CA

Practice address

421 B Pioneer Ave
Woodland, CA 95776

Phone

(530) 661-0300

Fax

(530) 661-0501

NPI assigned

Nov 14, 2006

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

Other identifiers 1

Other names 1

• Kali Javon Weir Former name

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 and National Provider Directory roles.

• Eyes of Woodland Optometry, Apc

  • Eyewear Supplier
  • Woodland, CA
  • NPI 1043349822

  Optometrist

  Medicare reassignment NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114099157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 WOODSIDE DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "95677",
            "telephone_number": "916-632-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 B PIONEER AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "95776",
            "telephone_number": "530-661-0300",
            "fax_number": "530-661-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "KALI",
        "middle_name": "JAVON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA 12887T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0128870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALI",
            "last_name": "WEIR",
            "middle_name": "JAVON",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randall H Leefeldt, M.D.
• Judith Kay Lehman, R.N., P.H.N, M.S.W
• Amy Leino, PH.D.
• Amy Blackard Lemes, PA
• Carmen Paola Leon Delgado
• Sheldon Leong
• Rebecca Leos
• William Nicholas Leppert, MA, RASI
• Catherine Day Lewis, P.A.
• Deborah Lewis

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.