Active NPI
Theresa Gan Leung, M.D.
- Ophthalmology Physician
- Sugar Land, TX
National Provider Identifier
1255597860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- Q5212
- Practice address
- 3515 Town Center Blvd S
Sugar Land, TX 77479-1285 - Phone
- (281) 277-8400
- Fax
- (281) 277-8408
- NPI assigned
- Aug 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0070675 | MD | |
| Ophthalmology Physician | 207W00000X | Q5212 | TX | Primary |
| Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician | 207WX0108X | Q5212 | TX |
Addresses
Primary practice location
3515 Town Center Blvd S
Sugar Land, TX 77479-1285
Mailing address
3515 Town Center Blvd S
Sugar Land, TX 77479-1285
Phone (281) 277-8400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358593701 | Medicaid | TX | |
| 036176300 | Medicaid | MD | |
| D0070675 | Other | MD | STATE LICENSE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0070675 | MD | MD | Ophthalmology Physician |
| Q5212 | TX | MD | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Lake Eye Center LLP | Past | Accepting new patients | |
| Berkeley Eye Institute, PLLC | Ophthalmology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Berkeley Eye Center
- Ophthalmology Physician
- Houston, TX
- NPI 1740286186
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1255597860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 TOWN CENTER BLVD S",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774791285",
"telephone_number": "281-277-8400",
"fax_number": "281-277-8408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 TOWN CENTER BLVD S",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774791285",
"telephone_number": "281-277-8400",
"fax_number": "281-277-8408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "THERESA",
"middle_name": "GAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-03",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0070675",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "Q5212",
"primary": true
},
{
"code": "207WX0108X",
"taxonomy_group": "",
"desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
"state": "TX",
"license": "Q5212",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "358593701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036176300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D0070675",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.