Individual provider Active NPI

Levon Dang

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1760153845
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35120-TLG Issued in CA
Practice address
1701 Stine Rd
Bakersfield, CA 93309-4827
Phone
(866) 707-6664
NPI assigned
Sep 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3228 CT
Optometrist 152W00000X STUDENT CT
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT35120-TLG CA Primary

Addresses

Primary practice location

1701 Stine Rd
Bakersfield, CA 93309-4827

Mailing address

4900 California Ave Ste 400B
Bakersfield, CA 93309-7081
Phone (661) 630-7047

Other practice location 1

29 Buckland St
Manchester, CT 06042-1601
Phone (860) 646-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220929001096 CA Practitioner - Optometry 9234529413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Optometric Eye CareGroup PAC ID 1254661317, 4 clinicians

Practice addresses (Care Compare)

5625 Gosford Rd
Bakersfield, CA 93313-4999
Phone (661) 665-8327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3228CTMDMental Health Counselor
OPT35120-TLGCAMDOptometrist
STUDENTCTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health Single Specialty Current Accepting new patients
Omni Family Health CurrentSince Sep 5, 2022 Accepting new patients
Omni Family Health Single Specialty CurrentSince Sep 5, 2022 Accepting new patients

Locations

1701 Stine Rd
Bakersfield, CA 93309
Phone (661) 770-3317

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

925 G St
Reedley, CA 93654
Phone (559) 558-9712

Interoperability endpoints

  • Direct secure messaging: levon.dong.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 4

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1760153845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 400B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097081",
            "telephone_number": "661-630-7047",
            "fax_number": "661-459-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094827",
            "telephone_number": "866-707-6664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Buckland St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060421601",
            "country_code": "US",
            "telephone_number": "860-646-6655",
            "fax_number": "860-647-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANG",
        "first_name": "LEVON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3228",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "STUDENT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35120-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.