Provider Demographics
NPI:1730220989
Name:LEANG, HELENE (OD)
Entity type:Individual
Prefix:DR
First Name:HELENE
Middle Name:
Last Name:LEANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:13721 NEWPORT AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-4601
Mailing Address - Country:US
Mailing Address - Phone:714-730-1318
Mailing Address - Fax:714-730-1318
Practice Address - Street 1:13721 NEWPORT AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-4690
Practice Address - Country:US
Practice Address - Phone:714-730-1318
Practice Address - Fax:714-730-1388
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11283T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA50392OtherDAVIS VISION
CA25564OtherSPECTERA
CA26915OtherAVESIS
CACA1283OtherEYEMED VISION CARE
CA1441OtherSUPERIOR VISION SERVICES
CA3688OtherVISION SERVICE PLAN
CASDO112830Medicaid
CA927503OtherVISION INS PLAN OF AMER
CA26915OtherAVESIS