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NPI Code Detail

MEDICARE: DR. DONALD LEUNG O.D.

MEDICARE: DR. DONALD LEUNG O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOD60243879WA

General Provider Information

NPI Number : 1437430469
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD LEUNG O.D.
Provider Business Mailing Address
First Line : 1201 39TH AVE SW
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-3803
Country : US
Telephone Number : 253-445-7587
Fax Number : 253-445-7571
Provider Business Practice Location Address
First Line : 1201 39TH AVE SW
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-3803
Country : US
Telephone Number : 253-445-7587
Fax Number : 253-445-7571
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2011
Last Update Date : 12/03/2013

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Directions to “ DR. DONALD LEUNG O.D.” Practice Location

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