Individual provider Active NPI

Leonardo Phillip Velazquez, DOCTOR OF OPTOMETRY

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1346758992
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33873 Issued in CA
Practice address
4900 Panama LN
Bakersfield, CA 93313-3479
Phone
(661) 213-0252
NPI assigned
Jan 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33873 CA Primary

Addresses

Primary practice location

4900 Panama LN
Bakersfield, CA 93313-3479

Mailing address

6400 Vancouver Dr
Bakersfield, CA 93309-5466
Phone (559) 285-0047

Other identifiers 1

IdentifierTypeStateIssuer
33873OtherCACALIFORNIA STATE BOARD OF OPTOMETRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190905001137 CA Practitioner - Optometry 6608105390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33873CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ojitos LLC Optometrist Current Accepting new patients

Locations

4900 Panama Ln
Bakersfield, CA 93313
Phone (661) 398-4740

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1346758992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 VANCOUVER DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095466",
            "telephone_number": "559-285-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 PANAMA LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133479",
            "telephone_number": "661-213-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "LEONARDO",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-17",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF OPTOMETRY",
            "identifier": "33873",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.