Individual provider Active NPI

Leah Claire Mallinger, O.D.

  • Optometrist
  • Yuma, AZ
National Provider Identifier
1801050620
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13534 Issued in CA
Practice address
2149 W 24TH St
Yuma, AZ 85364-6136
Phone
(928) 726-1100
Fax
(928) 341-0881
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13534 CA Primary

Addresses

Primary practice location

2149 W 24TH St
Yuma, AZ 85364-6136

Mailing address

2149 W 24TH St
Yuma, AZ 85364-6136
Phone (928) 726-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140429000713 AZ Practitioner - Optometry 6305909664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond R Corona OD PCGroup PAC ID 0244216760, 9 clinicians

Practice addresses (Care Compare)

2149 W 24TH St
Yuma, AZ 85364-6136
Phone (928) 726-1100

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13534CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond R. Corona, O.D. P.C. Optometrist CurrentSince Feb 21, 2014 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Imperial Valley Optometric Corporation Optometrist Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Total Vision PC Optometrist Past Accepting new patients

Locations

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

Organizations & group practices 5

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1801050620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646136",
            "telephone_number": "928-726-1100",
            "fax_number": "928-341-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646136",
            "telephone_number": "928-726-1100",
            "fax_number": "928-341-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLINGER",
        "first_name": "LEAH",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.