Individual provider Active NPI

Sharon F Leong, OD

  • Optometrist
  • Camp Pendleton, CA
National Provider Identifier
1255590410
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10366T Issued in CA
Practice address
Suite #107 Box 20845
Pacific Plaza Building # 20845
Camp Pendleton, CA 92055-5020
Phone
(760) 763-1757
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10366T CA Primary

Addresses

Primary practice location

Suite #107 Box 20845
Pacific Plaza Building # 20845
Camp Pendleton, CA 92055-5020

Mailing address

Suite #107 Box 20845
Pacific Plaza Building # 20845
Camp Pendleton, CA 92055-5020
Phone (760) 763-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10366TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1255590410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE #107 BOX 20845",
            "address_2": "PACIFIC PLAZA BUILDING # 20845",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555020",
            "telephone_number": "760-763-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE #107 BOX 20845",
            "address_2": "PACIFIC PLAZA BUILDING # 20845",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555020",
            "telephone_number": "760-763-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "SHARON",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10366T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Pendleton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.