Leybin Lakeside Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

License

SL799 Issued in CA

Legal business name

LEYBIN LAKESIDE OPTICAL

Practice address

2645 Ocean Ave
Suite #2
San Francisco, CA 94132-1633

Phone

(415) 334-2022

NPI assigned

Feb 8, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Leonid Leonard Leybin, OPTICIAN

Title

Owner

Phone

(415) 334-2022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Effat Danial, OPTICIAN

  • Optician
  • San Francisco, CA
  • NPI 1063850360
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1598805269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 OCEAN AVE",
            "address_2": "SUITE #2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 OCEAN AVE",
            "address_2": "SUITE #2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321633",
            "telephone_number": "415-334-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEYBIN LAKESIDE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LEYBIN",
        "authorized_official_first_name": "LEONID",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-334-2022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "SL799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DX003943F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenna Lewman
• Olivia Cash Lewman
• Myra Lewontin, MD
• Brett James Ley, M.D.
• Athina Ashleigh Leyba
• James Patrick Leyden
• Yan Leykin, PH.D.
• Diana Yevseyevna Leykina, MD
• Leyli Shirvani DDS Inc.
• Erick Omar Leyva I

• Optician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.