Individual
YEN D LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD61024190
WA
152W00000X
Optometrist
Primary
OPT.0003298
CO
152W00000X
Optometrist
SD14TA953
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD61024190
STATE LICENSE
WA
01
—
OPT.0003298
STATE LICENSE
CO
Enumeration date
07/06/2011
Last updated
05/01/2025
Update your record
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