Active NPI
Kim Le, OD
- Optometrist
- Tucson, AZ
National Provider Identifier
1073655874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 993
- Practice address
- 7635 N la Cholla Blvd
Tucson, AZ 85741-4202 - Phone
- (520) 297-2704
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 993 | AZ | Primary |
Addresses
Primary practice location
7635 N la Cholla Blvd
Tucson, AZ 85741-4202
Mailing address
10501 N Pistachio Ave
Tucson, AZ 85737-8616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 993 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073655874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 N PISTACHIO AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857378616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7635 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857414202",
"telephone_number": "520-297-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "KIM",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.