Individual provider Active NPI

Yen D Leong, OD

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1912294489
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003298 Issued in CO
Practice address
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone
(253) 968-1110
NPI assigned
Jul 6, 2011
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 OPT.0003298 CO Primary
Optometrist 152W00000X SD14TA953 AL
Optometrist 152W00000X OD61024190 WA

Addresses

Primary practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Mailing address

9119 Mil Park Ave
JBLM, WA 98433-9792
Phone (253) 477-3792

Other identifiers 2

IdentifierTypeStateIssuer
OD61024190OtherWASTATE LICENSE
OPT.0003298OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130926000549 AL Practitioner - Optometry 5597937169 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SD14TA953ALMDOptometrist
OPT.0003298COMDOptometrist
OD61024190WAMDOptometrist
2990TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Eye Group, LLC CurrentSince Sep 1, 2015 Accepting new patients
Eyecare Plus CL PLLC Optometrist PastSince Oct 14, 2006 Accepting new patients
Eyecare Plus HH, PLLC Optometrist PastSince Sep 1, 2003 Accepting new patients
Eyecare Plus CS PLLC Optometrist PastSince Oct 15, 2004 Accepting new patients
Eyecare Plus HV PLLC Optometrist PastSince Aug 2, 2004 Accepting new patients
Eyecare Plus GH PLLC Optometrist PastSince Sep 1, 2003 Accepting new patients
Eyecare Plus Ca,PLLC Optometrist PastSince Jul 20, 2008 Accepting new patients
Yen McIndoe, OD, LLC Optometrist Past Accepting new patients

Locations

429 Green Springs Hwy
Ste 171
Homewood, AL 35209
Phone (205) 332-3935

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1912294489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 MIL PARK AVE",
            "city": "JBLM",
            "state": "WA",
            "postal_code": "984339792",
            "telephone_number": "253-477-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "YEN",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003298",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SD14TA953",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61024190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OD61024190",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPT.0003298",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.