Provider Demographics
NPI:1861579641
Name:LEUNG, FRANCES W (OD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:W
Last Name:LEUNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:FRANCES
Other - Middle Name:W
Other - Last Name:LEUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:9221 SIERRA COLLEGE BLVD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-5919
Mailing Address - Country:US
Mailing Address - Phone:916-797-6747
Mailing Address - Fax:916-797-6728
Practice Address - Street 1:9221 SIERRA COLLEGE BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-5919
Practice Address - Country:US
Practice Address - Phone:916-797-6747
Practice Address - Fax:916-797-6728
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10367T152WC0802X, 152W00000X, 152WL0500X, 152WP0200X, 152WS0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1989134Medicaid
CASD0103671Medicare PIN
CA1989134Medicaid