Organization Active NPI

Dr Ryan Le and Associates LLC

  • Optometrist
  • Oswego, IL
National Provider Identifier
1033474317
Registry record updated Nov 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR RYAN LE AND ASSOCIATES LLC
Practice address
2300 US Highway 34
Oswego, IL 60543-7132
Phone
(630) 554-5927
NPI assigned
Jul 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2023

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

Authorized official

Name
Ryan LeNPI 1043575327
Title
Owner
Phone
(708) 275-6247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2300 US Highway 34
Oswego, IL 60543-7132

Mailing address

1520 Fringetree LN
Woodridge, IL 60517-4653
Phone (708) 275-6247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130416000619 IL Part B Supplier - Clinic/Group Practice 6002052131 Receives reassigned benefits from 1 practitioner
Practice locations: Oswego, IL

National Provider Directory

National Provider Directory

Locations

2300 US Highway 34
Oswego, IL 60543
Phone (630) 554-5616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700265600000",
    "number": "1033474317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 FRINGETREE LN",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174653",
            "telephone_number": "708-275-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437132",
            "telephone_number": "630-554-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RYAN LE AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-275-6247"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.