Active NPI
Andre T Le, O.D.
- Optometrist
- Burleson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6555TG
- Practice address
- 116 E Ellison St Ste C
Burleson, TX 76028-4286 - Phone
- (817) 295-9696
- Fax
- (817) 295-9313
- NPI assigned
- May 19, 2006
- Last updated
- Sep 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6555TG | TX | Primary |
Addresses
Primary practice location
116 E Ellison St Ste C
Burleson, TX 76028-4286
Mailing address
116 E Ellison St Ste C
Burleson, TX 76028-4286
Phone (214) 998-0934
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8F0158 | Other | TX | MEDICARE PROVIDER NUMBER |
| 177117201 | Medicaid | TX | |
| TX6555TG | Other | TX | OD LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
116 E Ellison St
Suite C
Burleson, TX 76028-4286
Phone (817) 295-9696
951 SW Wilshire Blvd
Burleson, TX 76028-5714
Phone (817) 883-1880
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6555TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Care Associates of Burleson PLLC | Optometrist | Current | Accepting new patients |
| Onsight Eyecare PLLC | Optometrist | Current | Accepting new patients |
| Vision Plaza PA | Optometrist | Current | Accepting new patients |
Locations
116 E Ellison St
Ste C
Burleson, TX 76028
Phone (214) 998-0934
116 E Ellison St
Ste C3
Burleson, TX 76028
312 E Renfro St
Ste 107
Burleson, TX 76028
Phone (817) 239-2284
951 SW Wilshire Blvd
Burleson, TX 76028
Phone (214) 998-0934
Interoperability endpoints
- andre.le@uprisedirect.com
Organizations & group practices 4
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.
-
dba Vision Care Associates of Burleson
- Optometrist
- Burleson, TX
- NPI 1235938747
-
- Optometrist
- Burleson, TX
- NPI 1912019076
-
- Optometrist
- Burleson, TX
- NPI 1710859095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1073566022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 E ELLISON ST STE C",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284286",
"telephone_number": "214-998-0934",
"fax_number": "817-295-9313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E ELLISON ST STE C",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284286",
"telephone_number": "817-295-9696",
"fax_number": "817-295-9313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "ANDRE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6555TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "8F0158",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177117201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OD LICENSE",
"identifier": "TX6555TG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.