Individual provider Active NPI

Jason Leng, MD

  • Ophthalmology Physician
  • Chehalis, WA
National Provider Identifier
1730396326
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60178742 Issued in WA
Practice address
2517 NE Kresky Ave
Chehalis, WA 98532-2409
Phone
(360) 748-8632
Fax
(360) 748-3869
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A102954 CA
Ophthalmology Physician 207W00000X MD60178742 WA Primary

Addresses

Primary practice location

2517 NE Kresky Ave
Chehalis, WA 98532-2409

Mailing address

PO Box 1506
Chehalis, WA 98532-0409
Phone (360) 242-3008

Other identifiers 6

IdentifierTypeStateIssuer
1730396326MedicaidOR
1574238MedicaidAK
1730396326MedicaidMT
1730396326MedicaidID
2011613MedicaidWA
78033373MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asc.pclichehalis.p1@direct.pcli.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, NM, MT, OR, AK6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20110601000926 WA Practitioner - Ophthalmology 0345427266 Reassigns benefits to 1 organization
I20110615000534 ID Practitioner - Ophthalmology 0345427266 Reassigns benefits to 1 organization
I20110705000422 NM Practitioner - Ophthalmology 0345427266 Reassigns benefits to 1 organization
I20110711000601 MT Practitioner - Ophthalmology 0345427266 Reassigns benefits to 1 organization
I20110714000039 OR Practitioner - Ophthalmology 0345427266 Reassigns benefits to 1 organization
I20110725000206 AK Practitioner - Ophthalmology 0345427266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Cataract and Laser Institute Inc PCGroup PAC ID 7517864119, shared by 15 NPIs, 75 clinicians

Practice addresses (Care Compare)

1621 Market Place Dr
Great Falls, MT 59404-3480
Phone (406) 454-2202

19801 SW 72ND Ave
Suite 150
Tualatin, OR 97062-8347
Phone (503) 691-2283

3330 4TH St
Lewiston, ID 83501-4405
Phone (208) 746-2025

6695 W Rio Grande Ave
Kennewick, WA 99336-3301
Phone (509) 736-0826

8220 San Pedro Dr NE
Suite 220
Albuquerque, NM 87113-2480
Phone (505) 797-4466

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A102954CAMDOphthalmology Physician
MD60178742WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Jun 1, 2011 Accepting new patients
Pacific Cataract and Laser Institute of Alaska Inc PC Ophthalmology CurrentSince Jul 1, 2011 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Jun 1, 2011 Accepting new patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Pacific Cataract and Laser Institute Inc PC CurrentSince Jun 1, 2011 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Jun 1, 2011 Accepting new patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Pacific Cataract and Laser Institute Inc PC CurrentSince Jun 1, 2011 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Current Accepting new patients
Pacific Cataract and Laser Institute Inc PC CurrentSince Jun 1, 2011 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Past Accepting new patients

Locations

1600 A St
Ste 200
Anchorage, AK 99501
Phone (907) 272-2423

2822 S Vista Ave
Boise, ID 83705
Phone (208) 385-7576

3330 4th St
Lewiston, ID 83501
Phone (208) 746-2025

1621 Market Place Dr
Great Falls, MT 59404
Phone (406) 454-2202

8220 San Pedro Dr NE
Ste 220
Albuquerque, NM 87113
Phone (360) 242-4610

1331 NW Lovejoy St
Ste 750
Portland, OR 97209
Phone (503) 535-2883

19801 SW 72nd Ave
Ste 150
Tualatin, OR 97062
Phone (503) 691-2283

2606 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 462-7664

4330 Mitchell Way
Bellingham, WA 98226
Phone (360) 736-6860

2517 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 748-8632

6695 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 736-0826

8200 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 736-0826

115 New View Ct NE
Olympia, WA 98506
Phone (360) 252-1642

9598 Mickelberry Rd NW
Silverdale, WA 98383
Phone (360) 698-5062

16818 E Desmet Ct
Spokane Valley, WA 99216
Phone (360) 242-3008

2915 S Alder St
#19
Tacoma, WA 98409
Phone (253) 473-0275

2915 S Alder St
Tacoma, WA 98409
Phone (253) 473-0275

2205 NE 129th St
Vancouver, WA 98686
Phone (360) 450-6644

3900 Kern Rd
Yakima, WA 98902
Phone (509) 966-1356

Interoperability endpoints

  • Direct secure messaging: jason.leng.p1@direct.pcli.nextgenshare.com
  • Direct secure messaging: asc.pclichehalis.p1@direct.pcli.nextgenshare.com

Organizations & group practices 12

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1730396326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1506",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320409",
            "telephone_number": "360-242-3008",
            "fax_number": "360-807-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 NE KRESKY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322409",
            "telephone_number": "360-748-8632",
            "fax_number": "360-748-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENG",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A102954",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60178742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730396326",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1574238",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730396326",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730396326",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011613",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78033373",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asc.pclichehalis.p1@direct.pcli.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2517 NE Kresky Ave",
            "city": "Chehalis",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985322409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

Verify at the official NPI Registry.