Individual provider Active NPI

Vicki Leung, O.D.

  • Optometrist
  • Woodland Hills, CA
National Provider Identifier
1669690228
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP9290T Issued in CA
Practice address
23161 Ventura Blvd
Suite 201
Woodland Hills, CA 91364-1105
Phone
(818) 591-8860
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP9290T CA Primary
Pediatric Optometrist 152WP0200X OP9290T CA
Vision Therapy Optometrist 152WV0400X OP9290T CA

Addresses

Primary practice location

23161 Ventura Blvd
Suite 201
Woodland Hills, CA 91364-1105

Mailing address

23161 Ventura Blvd
Suite 201
Woodland Hills, CA 91364-1105
Phone (818) 591-8860

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
I20041202000225 CA Practitioner - Optometry 6305802372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicki Leung OD a Professional CorporationGroup PAC ID 1557607900, 2 clinicians

Practice addresses (Care Compare)

23161 Ventura Blvd
Suite 201
Woodland Hills, CA 91364-1193
Phone (818) 591-8860

2845 Cochran St
Suite D
Simi Valley, CA 93065-7902
Phone (805) 527-6824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP9290TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric W Leser & Vicki Leung OD a Professional Corporation Optometrist CurrentSince Jan 5, 2011 Accepting new patients
Granada Hills Optometry Center Optometrist Past Accepting new patients
Eric W Leser OD a Professional Corporation Optometrist PastSince Mar 30, 2011 Accepting new patients
Marsden & Leung a Professional Corporation Optometrist Past Accepting new patients
Eric W Leser & Vicki Leung OD a Professional Corporation Optometrist PastSince Mar 16, 2011 Accepting new patients

Locations

23161 Ventura Blvd
Ste 201
Woodland Hls, CA 91364
Phone (818) 591-8860

Organizations & group practices 6

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1669690228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23161 VENTURA BLVD",
            "address_2": "SUITE 201",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641105",
            "telephone_number": "818-591-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23161 VENTURA BLVD",
            "address_2": "SUITE 201",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641105",
            "telephone_number": "818-591-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "VICKI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP9290T",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "OP9290T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "OP9290T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.