Organization Active NPI

Deborah Deleon

  • Optometrist
  • Oakland, CA
National Provider Identifier
1215122486
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11046T Issued in CA
Legal business name
DEBORAH DELEON
Doing business as
Laurel View Optometry
Practice address
3714 Macarthur Blvd
Oakland, CA 94619-1330
Phone
(510) 530-2330
Fax
(510) 530-4947
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Deborah Ellen Deleon, OD
Title
Optometrist/Sole Proprietor
Phone
(510) 530-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11046T CA Primary

Addresses

Primary practice location

3714 Macarthur Blvd
Oakland, CA 94619-1330

Mailing address

3714 Macarthur Blvd
Oakland, CA 94619-1330
Phone (510) 530-2330

Other names 1

  • Laurel View Optometry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1215122486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191330",
            "telephone_number": "510-530-2330",
            "fax_number": "510-530-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191330",
            "telephone_number": "510-530-2330",
            "fax_number": "510-530-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH DELEON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OPTOMETRIST/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "510-530-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11046T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel View Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.