MEDICARE: DR. ALEXANDER JOHN LEONG OD

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
1	152W00000X	Optometrist	OPT003443	GA

General Provider Information

NPI Number	:	1578039210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER JOHN LEONG OD

Provider Business Mailing Address
First Line	:	PO BOX 11407
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35246-8575
Country	:	US
Telephone Number	:	864-359-1308
Fax Number	:	239-496-3939

Provider Business Practice Location Address
First Line	:	2616 WARM SPRINGS RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-5323
Country	:	US
Telephone Number	:	706-323-3491
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2018
Last Update Date	:	04/14/2026

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