DR. LEIA MICHELLE DUMLAO BALLESTEROS OD
NPI 1205557550
Optometrist in Morro Bay, CA

Q: What is Leia Ballesteros's NPI number?

The NPI number for Leia Ballesteros is 1205557550. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Q: What is Leia Ballesteros's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Leia Ballesteros was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment

590 HARBOR ST, MORRO BAY, CA 93442(805) 772-1269(805) 772-2172 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2023, Oct 23, 2023, Sep 30, 2022 and 1 more (4 updates tracked since 2022).

On this page

About Dr. Leia Michelle Dumlao Ballesteros Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEIA MICHELLE DUMLAO BALLESTEROS OD (NPI 1205557550) is an individual optometrist in Morro Bay, California, licensed in California (35259) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205557550

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. LEIA MICHELLE DUMLAO BALLESTEROSCredential: OD

Location Address590 HARBOR STMorro Bay, CA 93442-1904

Mailing Address910 E Stowell RdSanta Maria, CA 93454-7001 · (805) 925-2637 · Fax (805) 925-3617

Phone(805) 772-1269

Fax(805) 772-2172

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 6, 2022

Last NPPES UpdateNovember 2, 20234 updates tracked since enumeration

NPPES CertifiedNovember 2, 2023

✔ NPI 1205557550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 35259

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

590 HARBOR ST, Morro Bay, CA 93442

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Secondary Practice Locations 2

Location 1150 Tejas PlNipomo, CA 93444-9123 · Phone (805) 931-2680

Location 2234 Heather Ct Ste 102Templeton, CA 93465-8765 · Phone (805) 434-5970 · Fax (805) 434-5973

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Leia Michelle Dumlao Ballesteros Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880060953

PECOS Enrollment IDI20221013002669

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Leia Ballesteros reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Centers Of The Central Coast Inc

0.1 mi

Federally Qualified Health Center (FQHC)

660 HARBOR ST
Morro Bay, CA 93442

Reassigned Medicare billing, California enrollment
213 clinicians in this Medicare group

NPI 1841217882 (805) 771-8489

Elite Eyecare Medical Group A Medical Corporation

12 mi

Ophthalmology

437 MARSH ST
San Luis Obispo, CA 93401

Reassigned Medicare billing, California enrollment
20 clinicians in this Medicare group

NPI 1760982300 (805) 925-2637

San Luis Obispo Eye Associates, A Medical Group Incorporated

14 mi

Ophthalmology

689 TANK FARM RD, SUITE 100
San Luis Obispo, CA 93401

Reassigned Medicare billing, California enrollment
Medicare enrollment name: San Luis Obispo Eye Associates, A Medical Group Inc.
16 clinicians in this Medicare group

NPI 1548311061 (805) 781-3937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

136 services136 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

91 services69 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

37 services37 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

34 services34 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

28 services21 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93442 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$135.73 typical visit price

range $59.84 – $178.89

Typical copayment $33.93 (range $14.96 – $44.72)

Most-billed visit code 99204

Established Patient

$74.24 typical visit price

range $19.70 – $146.55

Typical copayment $18.56 (range $4.92 – $36.63)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION

Optometrist