Provider Demographics
NPI:1124241948
Name:EYE WORLD OPTOMETRY
Entity type:Organization
Organization Name:EYE WORLD OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-730-1318
Mailing Address - Street 1:13721 NEWPORT AVE
Mailing Address - Street 2:SUITE 5
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:714-730-1388
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:92780-4601
Practice Address - Country:US
Practice Address - Phone:714-730-1318
Practice Address - Fax:714-730-1388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11283T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty