Provider Demographics
NPI:1326609041
Name:DR. DENNIS W. LEUNG O.D.
Entity Type:Organization
Organization Name:DR. DENNIS W. LEUNG O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:LEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-577-8844
Mailing Address - Street 1:2360 HUNTINGTON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-2653
Mailing Address - Country:US
Mailing Address - Phone:262-921-2936
Mailing Address - Fax:
Practice Address - Street 1:15435 JEFFREY RD STE 138
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4112
Practice Address - Country:US
Practice Address - Phone:949-577-8844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty