Individual provider Active NPI

Alma Leoneli Fuentes, OD

  • Optometrist
  • Long Beach, CA
National Provider Identifier
1316493158
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60685047 Issued in WA
Practice address
3900 Long Beach Blvd
Long Beach, CA 90807-2615
Phone
(562) 685-8605
NPI assigned
Aug 31, 2016
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60685047 WA Primary
Optometrist 152W00000X OPT36109-TLG CA

Addresses

Primary practice location

3900 Long Beach Blvd
Long Beach, CA 90807-2615

Mailing address

3900 Long Beach Blvd
Long Beach, CA 90807-2615
Phone (562) 685-8605

Other practice location 1

5016 Bridgeport Way W
University Place, WA 98467-2039
Phone (714) 615-8079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161103000849 WA Practitioner - Optometry 9335427871 Reassigns benefits to 1 organization
I20251103003185 CA Practitioner - Optometry 9335427871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7545 8TH St
Buena Park, CA 90621-2818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36109CAMDChiropractor
OPT36109-TLGCAMDOptometrist
60685047WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Eyecare Center P S Optometrist CurrentSince May 22, 2019 Accepting new patients
Eye Treatment Center, an Incorporated Medical Group, Inc CurrentSince Oct 21, 2025 Accepting new patients

Locations

3900 Long Beach Blvd
Long Beach, CA 90807
Phone (562) 431-7345

113 W Pioneer
Puyallup, WA 98371
Phone (206) 845-8215

407 Baker Blvd
Tukwila, WA 98188
Phone (206) 245-5430

5016 Bridgeport Way W
University Place, WA 98467
Phone (253) 472-1188

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1316493158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072615",
            "telephone_number": "562-685-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072615",
            "telephone_number": "562-685-8605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5016 Bridgeport Way W",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984672039",
            "country_code": "US",
            "telephone_number": "714-615-8079",
            "fax_number": "253-472-3594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "ALMA",
        "middle_name": "LEONELI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60685047",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT36109-TLG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.