Leonard Wong Ma, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA6501 Issued in CA

Practice address

411 Primrose Rd
Burlingame, CA 94010-4009

Phone

(650) 344-3112

Fax

(650) 344-7218

NPI assigned

Jul 28, 2005

Last updated

Oct 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Palo Alto Medical Foundation

  dba Sutter Sant Cruz Main 4th Floor

  • Non-Pharmacy Dispensing Site
  • Santa Cruz, CA
  • NPI 1114182649
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1427058684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 PRIMROSE RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104009",
            "telephone_number": "650-344-3112",
            "fax_number": "650-344-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PRIMROSE RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104009",
            "telephone_number": "650-344-3112",
            "fax_number": "650-344-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "LEONARD",
        "middle_name": "WONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA6501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "CA6501",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0065010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Lee Kay, M.D., Inc
• Lyra Clinical Associates P.C.
• Lyra Clinical of New Jersey P.C.
• Lyra Specialty Services LLC
• Lyra Specialty Services of Ca, P.C.
• Wendy Ma, P.T.
• Susan Khera Maayah, M.D.
• Linda Park Macapagal, LCSW
• Elizabeth Marie Macedo, MFT
• Brandie H Mack, AUD

• Optometrist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.