Doctor Name: | DR. MICHAEL LEONG |
NPI Number: | 1114031259 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | OD 627 |
Business Practice Address: | 8 Kiopaa Pl Suite 102 Makawao, HI - 967688283 |
Business Phone Number: | 8088739588 |
Business Fax Number: | |
Mailing Address: | 8 Kiopaa Pl, Suite 102 MAKAWAO |
State: | HI |
Postal Code: | 967688283 |
Phone Number: | 8088739588 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 10/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OD 627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |