Individual provider Active NPI

Mark John Le, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1033209416
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6648T Issued in TX
Practice address
5320 Griggs Rd Ste B
Houston, TX 77021-3715
Phone
(832) 661-2919
Fax
(713) 242-9096
NPI assigned
Oct 13, 2006
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6648T TX Primary

Addresses

Primary practice location

5320 Griggs Rd Ste B
Houston, TX 77021-3715

Mailing address

12102 Linden Walk LN
Pearland, TX 77584-3965
Phone (832) 661-2919

Other practice location 1

831 Highway 59 S
Cleveland, TX 77327-4873
Phone (832) 661-2919

Other identifiers 1

IdentifierTypeStateIssuer
TPI307581401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000200 TX Practitioner - Optometry 5092971366 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5320 Griggs Rd
Suite B
Houston, TX 77021-3715
Phone (832) 661-2919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Save Optical Inc CurrentSince Aug 28, 2021 Accepting new patients

Locations

5320 Griggs Rd
Ste B
Houston, TX 77021
Phone (713) 242-9050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1033209416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12102 LINDEN WALK LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843965",
            "telephone_number": "832-661-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 GRIGGS RD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770213715",
            "telephone_number": "832-661-2919",
            "fax_number": "713-242-9096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 Highway 59 S",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TX",
            "postal_code": "773274873",
            "country_code": "US",
            "telephone_number": "832-661-2919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "MARK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6648T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TPI307581401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.