Leung Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

13996 Issued in CA

Legal business name

LEUNG OPTOMETRIC CORPORATION

Practice address

9000 Northgate Mall
San Rafael, CA 94903

Phone

(415) 507-2364

NPI assigned

Aug 5, 2011

Organization subpart

No

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

Authorized official

Name

Miss Tiffany Leung, ODNPI 1568778595

Title

Optometrist

Phone

(650) 303-7509

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tiffany Leung, O.D.

  • Optometrist
  • San Rafael, CA
  • NPI 1568778595
  NPD (past) Authorized official

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1306125505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 SOUTHGATE AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153741",
            "telephone_number": "650-303-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 NORTHGATE MALL",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-507-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEUNG OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "650-303-7509",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Lenzi-Johnson
• Susan Leora Leonard, MFT
• Max Y Leroux
• Susan Lesher, RN
• Marisa Francesca Leto, L.M.F.T.
• Kwun Leung, PT
• Sherby Yinman Leung
• Tiffany Leung, O.D.
• Margaret Leventer, L..C.S.W.
• Eitan Levi

• Optometrist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.