Provider Demographics
NPI:1639802036
Name:LEUNG, MARCUS (OD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:
Last Name:LEUNG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 BROAD AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1593
Mailing Address - Country:US
Mailing Address - Phone:917-750-2065
Mailing Address - Fax:
Practice Address - Street 1:30 KINGSLAND RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07014-1904
Practice Address - Country:US
Practice Address - Phone:917-750-2065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00713800152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist