Leslie James Lung, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1730 Issued in WA

Practice address

535 4TH Ave W
Seattle, WA 98119-3906

Phone

(206) 281-9100

Fax

(206) 281-9100

NPI assigned

Aug 29, 2006

Last updated

Mar 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Issaquah Eyeworks LLCGroup PAC ID 1456366657, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 3

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.

• Brittany Kim NG, O.D.

  • Optometrist
  • Sammamish, WA
  • NPI 1467804864
  Medicare reassignment
• Catherine Joan Tsang, OD

  • Optometrist
  • Auburn, WA
  • NPI 1316591720
  Medicare reassignment
• My-Lynn Dang

  • Student in an Organized Health Care Education/Training Program
  • Houston, TX
  • NPI 1578310108

  WA

  Medicare reassignment

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.

• Issaquah Eyeworks, LLC

  • Optometrist
  • Issaquah, WA
  • NPI 1699984310
  Medicare reassignment Care Compare group NPD Authorized official
• Leslie J. Lung, O.D.

  dba Queen Anne Vision Clinic

  • Optometrist
  • Seattle, WA
  • NPI 1245373828
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1700995321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 4TH AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193906",
            "telephone_number": "206-281-9100",
            "fax_number": "206-281-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 4TH AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193906",
            "telephone_number": "206-281-9100",
            "fax_number": "206-281-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNG",
        "first_name": "LESLIE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003598",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine Lynn Lundgren
• Stacy Lundstedt, M.D.
• Kristin Lundvall, R.D.H.
• Brittany Michelle Lundy, PA-S
• Miwo Anne Lung Wong, LICSW, CDP
• Adriana Lungu, MD
• Megan Brooke Luning, LMHC
• Ryan Michelle Lunsford, MD
• Jing Luo, MD
• Kevin Luo

• Optometrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.