Active NPI
Kevin Jon Leung, O.D.
- Optometrist
- Bayside, NY
National Provider Identifier
1356014377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV009387-01
- Practice address
- 3925 Bell Blvd
Bayside, NY 11361-2060 - Phone
- (718) 279-2020
- NPI assigned
- Jul 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV009387-01 | NY | Primary |
Addresses
Primary practice location
3925 Bell Blvd
Bayside, NY 11361-2060
Mailing address
1636 Jasmine Ave
New Hyde Park, NY 11040-4339
Phone (516) 849-3733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3925 Bell Blvd
Bayside, NY 11361-2060
Phone (718) 279-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV009387-01 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye & I Eyecare LLC | Optometrist | Current | Accepting new patients |
| Eye & I Eyecare LLC | Optometrist | Current | Accepting new patients |
Locations
3925 Bell Blvd
Bayside, NY 11361
Phone (718) 279-2020
805 Northern Blvd
Ste 2
Great Neck, NY 11021
Phone (253) 228-9990
Organizations & group practices 2
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.
-
- Optometrist
- Bayside, NY
- NPI 1992369623
-
- Optometrist
- Great Neck, NY
- NPI 1669113627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1356014377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 JASMINE AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404339",
"telephone_number": "516-849-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 BELL BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612060",
"telephone_number": "718-279-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "KEVIN",
"middle_name": "JON",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV009387-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.