Individual provider Active NPI

David Richard Leong, OD

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1154606952
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14321 Issued in CA
Practice address
2550 W El Camino Ave
Suite 11
Sacramento, CA 95833-3900
Phone
(916) 921-2020
Fax
(916) 921-2200
NPI assigned
Oct 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14321 CA Primary

Addresses

Primary practice location

2550 W El Camino Ave
Suite 11
Sacramento, CA 95833-3900

Mailing address

2550 W El Camino Ave Ste 11
Sacramento, CA 95833-3900
Phone (916) 921-2020

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
I20120507000219 CA Practitioner - Optometry 8224290358 Reassigns benefits to 1 organization
Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2550 W El Camino Ave
Suite 11
Sacramento, CA 95833-3900
Phone (916) 921-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14321CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David R Leong OD Inc Optometrist CurrentSince Feb 10, 2023 Accepting new patients
Regents of the University of California at Berkeley Optometrist PastSince Jun 7, 1991 Accepting new patients

Locations

2550 W El Camino Ave
Ste 11
Sacramento, CA 95833
Phone (916) 921-2020

Organizations & group practices 2

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1154606952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W EL CAMINO AVE STE 11",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333900",
            "telephone_number": "916-921-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W EL CAMINO AVE",
            "address_2": "SUITE 11",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333900",
            "telephone_number": "916-921-2020",
            "fax_number": "916-921-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.