Individual provider Active NPI

Dennis Leung, O.D.

  • Optometrist
  • Arcadia, CA
National Provider Identifier
1376572743
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8179 Issued in CA
Practice address
655 W Duarte Rd # B
Arcadia, CA 91007-7332
Phone
(626) 446-2028
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8179 CA Primary

Addresses

Primary practice location

655 W Duarte Rd # B
Arcadia, CA 91007-7332

Mailing address

655 W Duarte Rd Unit B
Arcadia, CA 91007-7332
Phone (626) 446-2028

Other practice location 1

140 W Valley Blvd Ste 115
San Gabriel, CA 91776-3784
Phone (626) 288-8023

Other identifiers 2

IdentifierTypeStateIssuer
SD0081790MedicaidCA
8179OtherCAOPTOMETRY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.pot@goldenvision2020.com Direct

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
I20171109003263 CA Practitioner - Optometry 1153579719 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8179CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Nov 19, 2021 Accepting new patients
Golden San Gabriel Optometric Vision Center Optometrist CurrentSince Sep 9, 2017 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients
Dr. Dennis W. Leung O.D. Optometrist Past Accepting new patients
Marina Eyecare Center Optometrist Past Accepting new patients
Optometric Alliance Inc Optometrist Past Accepting new patients
Viet Tran, O.D., PLLC Optometrist PastSince Aug 27, 2016 Accepting new patients

Locations

655 W Duarte Rd
#B
Arcadia, CA 91007
Phone (626) 446-2028

15435 Jeffrey Rd
Ste 138
Irvine, CA 92618
Phone (949) 552-5535

12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287

310 Barber Ct
Bldg E
Milpitas, CA 95035

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1015 Nogales St
Ste 109
Rowland Hghts, CA 91748
Phone (626) 428-9186

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

3251 20th Ave
Ste 231
San Francisco, CA 94132
Phone (415) 564-7785

5515 Geary Blvd
San Francisco, CA 94121
Phone (415) 387-3553

140 W Valley Blvd
Ste 115
San Gabriel, CA 91776
Phone (626) 288-8023

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376572743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W DUARTE RD UNIT B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077332",
            "telephone_number": "626-446-2028",
            "fax_number": "626-288-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W DUARTE RD # B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077332",
            "telephone_number": "626-446-2028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 W Valley Blvd Ste 115",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917763784",
            "country_code": "US",
            "telephone_number": "626-288-8023",
            "fax_number": "626-288-8326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-03-07",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0081790",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "8179",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.pot@goldenvision2020.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Arcadia",
            "address_1": "655 W Duarte Rd Unit B",
            "city": "Arcadia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910077332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.