Provider Demographics
NPI:1528287497
Name:DRS LEE & LEONG OD LLC
Entity type:Organization
Organization Name:DRS LEE & LEONG OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-873-9588
Mailing Address - Street 1:101 PAKAULA ST
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3508
Mailing Address - Country:US
Mailing Address - Phone:808-873-9588
Mailing Address - Fax:808-871-7812
Practice Address - Street 1:101 PAKAULA ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-3508
Practice Address - Country:US
Practice Address - Phone:808-873-9588
Practice Address - Fax:808-871-7812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI627152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIV06974Medicare UPIN
HIU99307Medicare UPIN