Provider Demographics
NPI:1942855325
Name:LEUNG, SOPHIA (OD)
Entity Type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:
Last Name:LEUNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 S GATEWAY PL
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037-3460
Mailing Address - Country:US
Mailing Address - Phone:918-747-2020
Mailing Address - Fax:
Practice Address - Street 1:244 S GATEWAY PL
Practice Address - Street 2:
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-3460
Practice Address - Country:US
Practice Address - Phone:918-747-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3029152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist