Kristy Q. Le OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002611 Issued in GA

Legal business name

KRISTY Q. LE OD PC

Practice address

3378 Cobb Pkwy NW
Acworth, GA 30101-8358

Phone

(954) 224-3428

Fax

(801) 697-5328

NPI assigned

Sep 29, 2010

Last updated

Oct 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristy Le, O.D.NPI 1366758849

Title

Optometrist/President

Phone

(954) 224-3428

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Kristy Quynh Le, O.D.

  • Optometrist
  • Acworth, GA
  • NPI 1366758849
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287878400000",
    "number": "1104135714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2945",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960051",
            "telephone_number": "954-224-3428",
            "fax_number": "801-697-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3378 COBB PKWY NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018358",
            "telephone_number": "954-224-3428",
            "fax_number": "801-697-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTY Q. LE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-10-24",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "954-224-3428",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Rosemary Korey, PHARMD
• Tumu T Korlie
• Julia Kosatka
• KP Jones Counseling, LLC (Kirsten Jones, LPC)
• Kendra Chantelle Krieg, FNP-C
• Warren Kritsanachaiwanich, DMD
• Melissa Ann Krol, M.S., CCC-SLP
• Caleb Thomas Kutsche, PT, DPT, CSCS
• Emily Labutta
• Lacey Drug Company Inc (Laceys LTC Pharmacy)

• Optometrist in Acworth, GA
• Providers in Acworth, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2010; 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.