Individual provider Active NPI

Helene Leang, O.D.

  • Optometrist
  • Tustin, CA
National Provider Identifier
1730220989
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11283T Issued in CA
Practice address
13721 Newport Ave
Suite 5
Tustin, CA 92780-4690
Phone
(714) 730-1318
Fax
(714) 730-1388
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11283T CA Primary

Addresses

Primary practice location

13721 Newport Ave
Suite 5
Tustin, CA 92780-4690

Mailing address

13721 Newport Ave Ste 5
Tustin, CA 92780-4601
Phone (714) 730-1318

Other identifiers 8

IdentifierTypeStateIssuer
50392OtherCADAVIS VISION
25564OtherCASPECTERA
26915OtherCAAVESIS
CA1283OtherCAEYEMED VISION CARE
1441OtherCASUPERIOR VISION SERVICES
3688OtherCAVISION SERVICE PLAN
SDO112830MedicaidCA
927503OtherCAVISION INS PLAN OF AMER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11283TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye World Optometry Optometrist Past Accepting new patients

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1730220989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13721 NEWPORT AVE STE 5",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804601",
            "telephone_number": "714-730-1318",
            "fax_number": "714-730-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13721 NEWPORT AVE",
            "address_2": "SUITE 5",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804690",
            "telephone_number": "714-730-1318",
            "fax_number": "714-730-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEANG",
        "first_name": "HELENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11283T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "50392",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "25564",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "26915",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "CA1283",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION SERVICES",
            "identifier": "1441",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "3688",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SDO112830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION INS PLAN OF AMER",
            "identifier": "927503",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.