Leyen Lim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12233T Issued in CA

Practice address

1101 Truman St
Suite E
San Fernando, CA 91340-3237

Phone

(818) 361-2020

Fax

(818) 361-6381

NPI assigned

Jan 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Clear Vision Optometry, Inc.

  • Optometrist
  • San Fernando, CA
  • NPI 1831145960
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1831160969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TRUMAN ST",
            "address_2": "SUITE E",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403237",
            "telephone_number": "818-361-2020",
            "fax_number": "818-361-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TRUMAN ST",
            "address_2": "SUITE E",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403237",
            "telephone_number": "818-361-2020",
            "fax_number": "818-361-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "LEYEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12233T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP12233",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP I.D.",
            "identifier": "W18814",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah Leverett
• Susan Eglick Levy, M.D.
• Kyla Rose Salas Leynes
• Fausto Licona Ayala
• Liliana Hernandez, LMFT
• Cristal Lopez
• Deanna Rae Lopez
• Giovanna Lizbeth Lopez, NP
• Jocelyn Lopez
• Leticia Lopez

• Optometrist in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.