Active NPI
Marley Leon, DISPENSING OPTICIAN
- Optician
- Redlands, CA
National Provider Identifier
1487147146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 6634
- Practice address
- 1255 W Colton Ave SPC 600
Redlands, CA 92374-2861 - Phone
- (909) 571-1852
- NPI assigned
- Jun 7, 2018
- Last updated
- Feb 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 6634 | CA | Primary |
Addresses
Primary practice location
1255 W Colton Ave SPC 600
Redlands, CA 92374-2861
Mailing address
1255 W Colton Ave SPC 600
Redlands, CA 92374-2861
Phone (909) 571-1852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6634 | CA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marley Leon | Optician | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1487147146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 W COLTON AVE SPC 600",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742861",
"telephone_number": "909-571-1852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 W COLTON AVE SPC 600",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742861",
"telephone_number": "909-571-1852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "MARLEY",
"credential": "DISPENSING OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-07",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "6634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.