Individual provider Active NPI

Christine H Le, O.D.

  • Optometrist
  • Lynnwood, WA
National Provider Identifier
1053692905
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60244629 Issued in WA
Practice address
3000 184TH St SW Ste 210
Lynnwood, WA 98037-4719
Phone
(425) 776-8234
Fax
(425) 484-0064
NPI assigned
Sep 6, 2011
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60244629 WA Primary

Addresses

Primary practice location

3000 184TH St SW Ste 210
Lynnwood, WA 98037-4719

Mailing address

5900 Lake Washington Blvd SE
Bellevue, WA 98006-2635
Phone (425) 353-0404

Other practice location 1

3923 Factoria Square Mall SE
Bellevue, WA 98006-1264
Phone (425) 641-4636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20120124000942 WA Practitioner - Optometry 6901073493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 184TH SW St
Suite 206
Lynnwood, WA 98037-4769
Phone (425) 776-8234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60244629WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Eye Care, Inc Optometrist CurrentSince Jan 1, 2012 Accepting new patients

Locations

3923 Factoria Square Mall SE
Bellevue, WA 98006
Phone (425) 641-4636

3000 184th St SW
Ste 206
Lynnwood, WA 98037
Phone (425) 775-6069

3000 184th St SW
Ste 210
Lynnwood, WA 98037
Phone (425) 753-3640

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1053692905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE WASHINGTON BLVD SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980062635",
            "telephone_number": "425-353-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 184TH ST SW STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374719",
            "telephone_number": "425-776-8234",
            "fax_number": "425-484-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3923 Factoria Square Mall SE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980061264",
            "country_code": "US",
            "telephone_number": "425-641-4636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "CHRISTINE",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60244629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.