Individual provider Active NPI

Leon L Cai, O.D.

  • Optometrist
  • Flushing, NY
National Provider Identifier
1659474864
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
UVT005773 Issued in NY
Practice address
4125 Kissena Blvd
104
Flushing, NY 11355-3150
Phone
(718) 358-5888
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X UVT005773 NY Primary

Addresses

Primary practice location

4125 Kissena Blvd
104
Flushing, NY 11355-3150

Mailing address

284 Jericho Tpke
Mineola, NY 11501-1609
Phone (718) 358-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040608001342 NY Practitioner - Optometry 1658354931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005773NYMDClinical Psychologist
UVT005773NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mineola Vision, Inc Optometrist CurrentSince Jun 26, 2020 Accepting new patients

Locations

284 Jericho Tpke
Mineola, NY 11501
Phone (516) 422-2832

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1659474864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011609",
            "telephone_number": "718-358-5888",
            "fax_number": "718-358-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 KISSENA BLVD",
            "address_2": "104",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553150",
            "telephone_number": "718-358-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAI",
        "first_name": "LEON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UVT005773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.