Individual provider Active NPI

Leyden E. Sianghio, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1740322841
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04416T Issued in TX
Practice address
12349 N Ih 35
San Antonio, TX 78233-3201
Phone
(210) 602-9415
Fax
(210) 655-2015
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 04416T TX Primary

Addresses

Primary practice location

12349 N Ih 35
San Antonio, TX 78233-3201

Mailing address

13630 Ashley Oaks Dr
San Antonio, TX 78247-3516
Phone (210) 602-9415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120321000748 TX Practitioner - Optometry 2567622947 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4416TXMDMarriage & Family Therapist
04416TTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740322841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 ASHLEY OAKS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473516",
            "telephone_number": "210-602-9415",
            "fax_number": "210-655-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12349 N IH 35",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782333201",
            "telephone_number": "210-602-9415",
            "fax_number": "210-655-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIANGHIO",
        "first_name": "LEYDEN",
        "middle_name": "E.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04416T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.