GERONIMO & LEONG, PROFESSIONAL OPTOMETRIC CORPORATION (NPI# 1144394057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144394057 |
| Entity Type | Organization |
| Organization Name | GERONIMO & LEONG, PROFESSIONAL OPTOMETRIC CORPORATION |
| Practice Address |
15251 E 14th St Ste B San Leandro CA 94578-1905 |
| Practice Telephone | 5104812121 |
| Practice Fax Number | 5104812129 |
| Mailing Telephone | 5104812121 |
| Mailing Fax Number | 5104812129 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-10-08 |
| Authorized Official Name | DR. JOANNA LEONG (CEO) |
| Authorized Official Telephone | 5104812121 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 977 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE NSC (PTAN) | ZZZ26906Z | 01 |
| Street Address |
15251 E 14TH ST STE B |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1528620705 | Mai Optometric Group | Optometrist | 1515 Aurora Dr Ste 201k, San Leandro, CA 94577-3105 | 2019-07-08 |
| 1730335472 | Kalli K Leung | Optometrist | 1371 E 14th St, Suite A, San Leandro, CA 94577-4728 | 2008-08-13 |
| 1609083435 | California Ophthalmic Laser Associates, Medical PC | Optometrist | 303 W Joaquin Ave, Suite 250, San Leandro, CA 94577-3642 | 2007-05-17 |
| 1639399983 | Rosario S. Flores | Optometrist | 1332 E 14th St, San Leandro, CA 94577-4714 | 2007-04-27 |
| 1568689107 | San Leandro Optometry Grp | Optometrist | 1575 E. 14th Street, San Leandro, CA 94577 | 2007-04-18 |
| 1164580296 | Franklin Lee | Optometrist | 15100 Hesperian Blvd, Ste 120, San Leandro, CA 94578-3600 | 2006-12-04 |
| 1861562761 | Gordon Lewis Epstein | Optometrist | 1598 Washington Ave, San Leandro, CA 94577-4465 | 2006-11-08 |
| 1518929520 | Rosalia Saavedra | Optometrist | 157 Parrott St, San Leandro, CA 94577-4813 | 2006-04-05 |
| 1528033875 | John M Neishi | Optometrist | 15070 Hesperian Blvd, Suite G, San Leandro, CA 94578-3546 | 2006-02-21 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.