DICK LEON
NPI 1497393904
Optometrist in Santa Rosa, CA

Q: What is Dick Leon's NPI number?

The NPI number for Dick Leon is 1497393904. It was assigned to this individual provider in the NPPES registry on December 16, 2019.

Q: What is Dick Leon'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 Dick Leon was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 16, 2019PECOS EnrolledAccepts Medicare Assignment

401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(323) 206-2582 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2021, Mar 28, 2021, Mar 26, 2020 and 1 more (4 updates tracked since 2019).

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About Dick Leon NPPES

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

DICK LEON (NPI 1497393904) is an individual optometrist in Santa Rosa, California, licensed in California (34515TLG) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1497393904

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDICK LEON

Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149

Mailing Address401 Bicentennial WaySanta Rosa, CA 95403-2149

Phone(323) 206-2582

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 16, 2019

Last NPPES UpdateDecember 27, 20214 updates tracked since enumeration

NPPES CertifiedDecember 27, 2021

✔ NPI 1497393904 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 · 34515TLG

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.

401 BICENTENNIAL WAY, Santa Rosa, CA 95403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dick Leon 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 ID6002205358

PECOS Enrollment IDI20211108002824

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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

$142.00 typical visit price

range $63.04 – $187.01

Typical copayment $35.50 (range $15.76 – $46.75)

Most-billed visit code 99204

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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 20

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

MS. JESSICA ANNE RUTLAND R.D.

Dietitian, Registered

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4787

KURT FALKENBERG P.T.

Physical Therapist

401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403

Sonoma County (707) 571-3352

DELILAH PATTERSON CRNA

Nurse Anesthetist, Certified Registered

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4616

KRISZTINA J. BALAZS MD

Pediatrics

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-4000

JOHN F. KUNKEL MD

Pathology (Anatomic Pathology)

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-4000

CRISTINA COREY SCHROEN LCSW

Social Worker (Clinical)

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-2536

JIE GIOK RAHARDJA PHARMD

Pharmacist

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4652

CONOR WILLIAM BOWMAN PHARM.D.

Pharmacist

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (818) 522-1238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dick Leon's NPI number?

The NPI number for Dick Leon is 1497393904. It was assigned to this individual provider in the NPPES registry on December 16, 2019.

Where is Dick Leon located?

Dick Leon practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (323) 206-2582.

What is Dick Leon's specialty?

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

Is Dick Leon enrolled in Medicare?

Yes. Dick Leon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dick Leon was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.