NPIMap

Organization Active NPI

Kimberly Le OD PC

  • Optometrist
  • Henderson, NV
National Provider Identifier
1073111993
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KIMBERLY LE OD PC
Practice address
300 E Lake Mead Pkwy
Henderson, NV 89015-5576
Phone
(858) 348-7790
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Kimberly Duy Le, ODNPI 1629635636
Title
Optometrist
Phone
(858) 348-7790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

300 E Lake Mead Pkwy
Henderson, NV 89015-5576

Mailing address

8701 Red Brook Dr Unit 204
Las Vegas, NV 89128-8455
Phone (858) 348-7790

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1073111993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 RED BROOK DR UNIT 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288455",
            "telephone_number": "858-348-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155576",
            "telephone_number": "858-348-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY LE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "858-348-7790",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.