Individual provider Active NPI

Eric Leung

  • Optometrist
  • San Gabriel, CA
National Provider Identifier
1992310106
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34665-TLG Issued in CA
Practice address
140 W Valley Blvd Ste 115
San Gabriel, CA 91776-3784
Phone
(626) 288-8023
NPI assigned
Sep 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT34665-TLG CA Primary

Addresses

Primary practice location

140 W Valley Blvd Ste 115
San Gabriel, CA 91776-3784

Mailing address

1025 W Huntington Dr Unit M
Arcadia, CA 91007-1116

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
I20201211002563 CA Practitioner - Optometry 6406268622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

140 W Valley Blvd
Suite 115
San Gabriel, CA 91776-3784
Phone (626) 288-8023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34665CAMDClinical Psychologist
OPT34665-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden San Gabriel Optometric Vision Center Optometrist CurrentSince Nov 10, 2020 Accepting new patients
Total Vision PC Optometrist CurrentSince Nov 19, 2021 Accepting new patients
Mark a. Chung, O.D., a Professional Corporation Optometrist Past Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients
Gregory Y. Kame, O.D., F.a.a.O., a Professional Corporation Optometrist PastSince Oct 1, 1999 Accepting new patients
Crum Optometric Group, Inc Optometrist PastSince Feb 9, 2011 Accepting new patients
Marina Eyecare Center Optometrist Past Accepting new patients

Locations

655 W Duarte Rd
#B
Arcadia, CA 91007
Phone (626) 446-2028

2581 Chino Hills Pkwy
Ste C
Chino Hills, CA 91709
Phone (909) 393-8378

718 N Diamond Bar Blvd
Diamond Bar, CA 91765
Phone (909) 402-2020

334B E 2nd St
Los Angeles, CA 90012
Phone (213) 628-7419

12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1015 Nogales St
Ste 109
Rowland Hghts, CA 91748
Phone (626) 428-9186

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

140 W Valley Blvd
Ste 115
San Gabriel, CA 91776
Phone (626) 288-8023

8205 Santa Monica Blvd
Ste 15
West Hollywood, CA 90046
Phone (323) 650-0337

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1992310106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W HUNTINGTON DR UNIT M",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910071116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD STE 115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763784",
            "telephone_number": "626-288-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34665-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.