Individual provider Active NPI

Terra Leight, OD

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1447781315
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33712 Issued in CA
Practice address
351 E Temple St # 112C
Los Angeles, CA 90012
Phone
(213) 253-2677
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33712 CA Primary

Addresses

Primary practice location

351 E Temple St # 112C
Los Angeles, CA 90012

Mailing address

559 Amethyst LN
Walnut, CA 91789-4716
Phone (626) 589-3945

Other names 1

  • Terra Rey Former name

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
I20181016000876 CA Practitioner - Optometry 2466704770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

23961 Calle de la Magdalena
Suite 300
Laguna Hills, CA 92653-3665
Phone (949) 951-2020

Merit-based Incentive Payment System (MIPS)

Final score
80.67 of 100Reported as group
Quality
93.87
Promoting interoperability
100
Improvement activities
40
Cost
41.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33712CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Eye Associates CurrentSince Jan 3, 2022 Accepting new patients

Locations

23961 Calle de la Magdalena
Ste 300
Laguna Hills, CA 92653
Phone (949) 837-1891

1010 W La Veta Ave
Ste 175
Orange, CA 92868
Phone (714) 633-5696

1801 W Olympic Blvd
#2096
Pasadena, CA 91199

685 Camino de Los Mares 102
San Clemente, CA 92673

665 Camino de los Mares
Ste 102103
San Clemente, CA 92673
Phone (949) 951-2020

665 Camino de los Mares
Ste 102
San Clemente, CA 92673
Phone (714) 493-7330

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: terra.leight.p1@direct.atlantiseyecare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1447781315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 AMETHYST LN",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894716",
            "telephone_number": "626-589-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 E TEMPLE ST # 112C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90012",
            "telephone_number": "213-253-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGHT",
        "first_name": "TERRA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRA",
            "last_name": "REY",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.