Individual provider Active NPI

Joanna Leong, O.D.

  • Low Vision Rehabilitation Optometrist
  • San Leandro, CA
National Provider Identifier
1366472920
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
11514T Issued in CA
Practice address
15251 E 14TH St
Suite B
San Leandro, CA 94578-1905
Phone
(510) 481-2121
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 11514T CA Primary

Addresses

Primary practice location

15251 E 14TH St
Suite B
San Leandro, CA 94578-1905

Mailing address

15251 E 14TH St
Suite B
San Leandro, CA 94578-1905
Phone (510) 481-2121

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
I20120215000677 CA Practitioner - Optometry 7416946900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Wu OD a Professional CorporationGroup PAC ID 6002340650, 2 clinicians

Practice addresses (Care Compare)

15251 E 14TH St
B
San Leandro, CA 94578-1905
Phone (510) 481-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Wu, O.D., a Professional Corporation CurrentSince Oct 1, 2024 Accepting new patients

Locations

4299 Rosewood Dr
Unit 105
Pleasanton, CA 94588
Phone (925) 416-1888

14895 E 14th St
Ste 340
San Leandro, CA 94578
Phone (510) 481-2121

15251 E 14th St
#B
San Leandro, CA 94578
Phone (510) 481-2121

7129 NE Imbrie Dr
Hillsboro, OR 97124
Phone (503) 690-2020

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366472920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15251 E 14TH ST",
            "address_2": "SUITE B",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781905",
            "telephone_number": "510-481-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15251 E 14TH ST",
            "address_2": "SUITE B",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781905",
            "telephone_number": "510-481-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "11514T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.