Organization Active NPI

Leung, Marsden, and Wald, a Professional Optometric Corporation

  • Optometrist
  • Simi Valley, CA
National Provider Identifier
1669892188
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LEUNG, MARSDEN, AND WALD, A PROFESSIONAL OPTOMETRIC CORPORATION
Practice address
2845 Cochran St
Suite D
Simi Valley, CA 93065-2796
Phone
(805) 527-6824
Fax
(805) 527-9247
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Mrs. Daysy Lira
Title
Billing
Phone
(805) 527-6824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2845 Cochran St
Suite D
Simi Valley, CA 93065-2796

Mailing address

2845 Cochran St
Suite D
Simi Valley, CA 93065-2796
Phone (805) 527-6824

Other names 1

  • Diamond Eye Optometry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1669892188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 COCHRAN ST",
            "address_2": "SUITE D",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652796",
            "telephone_number": "805-527-6824",
            "fax_number": "805-527-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 COCHRAN ST",
            "address_2": "SUITE D",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652796",
            "telephone_number": "805-527-6824",
            "fax_number": "805-527-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEUNG, MARSDEN, AND WALD, A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "LIRA",
        "authorized_official_first_name": "DAYSY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "805-527-6824",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Eye Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.