Individual provider Active NPI

Richard G Leong, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1962470153
Registry record updated Nov 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6494T Issued in CA
Practice address
2550 W El Camino Ave
Ste 11
Sacramento, CA 95833-3900
Phone
(916) 921-2020
Fax
(916) 921-2200
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6494T CA Primary

Addresses

Primary practice location

2550 W El Camino Ave
Ste 11
Sacramento, CA 95833-3900

Mailing address

2550 W El Camino Ave
Ste 11
Sacramento, CA 95833-3900
Phone (916) 921-2020

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
I20110131000451 CA Practitioner - Optometry 4981721917 Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6494TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David R Leong OD Inc Optometrist PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 1

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226102400000",
    "number": "1962470153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W EL CAMINO AVE",
            "address_2": "STE 11",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333900",
            "telephone_number": "916-921-2020",
            "fax_number": "916-921-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W EL CAMINO AVE",
            "address_2": "STE 11",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333900",
            "telephone_number": "916-921-2020",
            "fax_number": "916-921-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONG",
        "first_name": "RICHARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6494T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.