Leigh Mast, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

60301603 Issued in WA

Legal business name

LEIGH MAST, OD, PLLC

Practice address

2317 SW 320TH St
Suite a
Federal Way, WA 98023-2567

Phone

(253) 952-5547

NPI assigned

Nov 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Leigh Mast, O.D.NPI 1689939456

Title

Optometrist

Phone

(941) 266-4005

Specialties & licenses 1

Addresses

Other names 1

• Twin Lakes Vision Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Leigh Ann Mast, O.D.

  • Optometrist
  • Federal Way, WA
  • NPI 1689939456
  Medicare reassignment NPD Authorized official
• David B Souza, OD

  • Optometrist
  • Federal Way, WA
  • NPI 1811904964
  NPD (past)

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1124425111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 SW 320TH ST",
            "address_2": "SUITE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232567",
            "telephone_number": "253-952-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 SW 320TH ST",
            "address_2": "SUITE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232567",
            "telephone_number": "253-952-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGH MAST, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "MAST",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "941-266-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60301603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Lakes Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yaeeun G Lee
• Young H. Lee, MD
• Young Ju Lee, L.M.P.
• Young Woo Lee, DDS
• Clifford Leichleiter, LMP
• Lucia Leiva
• Briana R Lemasters, SUDPT
• Vuthy Leng, M.D.
• Rachael Lenoir
• Kathryn Dunphy Lent, DPT

• Optometrist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.