Healthcare Provider Details

I. General information

NPI: 1528287497
Provider Name (Legal Business Name): DRS LEE & LEONG OD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 PAKAULA ST
KAHULUI HI
96732-3508
US

IV. Provider business mailing address

101 PAKAULA ST
KAHULUI HI
96732-3508
US

V. Phone/Fax

Practice location:
  • Phone: 808-873-9588
  • Fax: 808-871-7812
Mailing address:
  • Phone: 808-873-9588
  • Fax: 808-871-7812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number627
License Number StateHI

VIII. Authorized Official

Name: DR. MICHAEL LEONG
Title or Position: OPTOMETRIST
Credential:
Phone: 808-873-9588