Individual
YEN D LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
9119 MIL PARK AVE, JBLM, WA 98433-9792
(253) 477-3792
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
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