MARY LEONG (O.D.) – Optometrist, NPI 1003968249

MARY LEONG (O.D.) is a healthcare provider. based in Antioch, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 11914T (CA). The NPI Number for MARY LEONG (O.D.) is 1003968249

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MARY LEONG (O.D.)
NPI
1003968249
Phone
(925) 813-3280
Address
4501 SAND CREEK RD
Enumeration Date
17 January 2007
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
9257575577
Graduation Year
2002 (24 years ago)
PAC ID
2567627284
Group Practice PAC ID
8820421993
Professional Enrollment ID
I20120703000237
Address ID
CA945318484AN5109XWAYX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,909 OPTOMETRY in CA

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Provider Addresses for MARY LEONG (O.D.)

  • Sand Creek, Antioch, Contra Costa County, California, 94531, United States

    ANTIOCH, CA 945318687

    Phone: (925) 813-3280

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $738.

Total Amount is formed as General ($738) + Research ($0) + Ownership ($0) = $738.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Alcon Vision LLC ($386).

Total Amount

$738

General + Research + Ownership

Payments

6

Total payment records

General Amount

$738

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120703000237IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92083Exam of visual field with extended testing1312$0
View full utilization report →

Insurance plans in this area (ZIP 94531)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820421993View full group profile
NameSpecialtyState
-CA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What identifier follows MARY LEONG (O.D.) across health systems?
The NPI 1003968249 uniquely identifies MARY LEONG (O.D.) in U.S. healthcare data.
Does the public listing show MARY LEONG (O.D.) as active?
MARY LEONG (O.D.)'s NPI record reflects an active status in NPPES.
What services align with MARY LEONG (O.D.)'s listing?
MARY LEONG (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is MARY LEONG (O.D.) tied to Antioch, California?
If you are local to Antioch, California, MARY LEONG (O.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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