Organization Active NPI

Dr. Dennis W. Leung, O.D

  • Optometrist
  • Monterey Park, CA
National Provider Identifier
1982649547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8179 Issued in CA
Legal business name
DR. DENNIS W. LEUNG, O.D
Practice address
230 N Garfield Ave
#D6
Monterey Park, CA 91754-1774
Phone
(626) 307-0228
Fax
(626) 307-8861
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis Leung, O.D.
Title
Owner/Optometrist
Phone
(626) 307-0228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8179 CA Primary

Addresses

Primary practice location

230 N Garfield Ave
#D6
Monterey Park, CA 91754-1774

Mailing address

230 N Garfield Ave
#D6
Monterey Park, CA 91754-1774
Phone (626) 307-0228

Other identifiers 1

IdentifierTypeStateIssuer
GSD004310MedicaidCA

National Provider Directory

National Provider Directory

Locations

230 N Garfield Ave
Ste D6
Monterey Park, CA 91754
Phone (626) 288-1925

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982649547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N GARFIELD AVE",
            "address_2": "#D6",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541774",
            "telephone_number": "626-307-0228",
            "fax_number": "626-307-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N GARFIELD AVE",
            "address_2": "#D6",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541774",
            "telephone_number": "626-307-0228",
            "fax_number": "626-307-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DENNIS W. LEUNG, O.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "626-307-0228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.