Leonidas a. Johnson, O.D., a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

8254 TLG Issued in CA

Legal business name

LEONIDAS A. JOHNSON, O.D., A PROFESSIONAL CORPORATION

Practice address

4403 S Vermont Ave
Los Angeles, CA 90037-2413

Phone

(323) 778-7798

Fax

(323) 778-7190

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Leonidas A. Johnson, O.D.

Title

President

Phone

(714) 828-7798

Specialties & licenses 1

Addresses

Other names 1

• eYe cLinic OPTOMETRY Doing business as

Locations

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1891983235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4434",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917650434",
            "telephone_number": "714-828-7798",
            "fax_number": "323-778-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372413",
            "telephone_number": "323-778-7798",
            "fax_number": "323-778-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONIDAS A. JOHNSON, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEONIDAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-828-7798",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8254 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eYe cLinic OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Leigh Leong
• Matthew Leong
• Pauline P. Leong, MS, RDN
• Stephanie Y. Leong, MD
• Tawny Leong
• Gabriela Leonor Guzman
• Paul Leonor, M.D.
• Paula Leonti
• Leopoldo G Hernandez MD Inc
• Leora H Sheily DDS PC

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.