Individual provider Active NPI

Lilan Le, OD

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1104230200
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008146 Issued in NY
Practice address
8022 Melrose Ave
Los Angeles, CA 90046
Phone
(213) 221-0552
Fax
(213) 906-0079
NPI assigned
Jun 17, 2014
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6963 FL
Optometrist 152W00000X 3312 CT
Optometrist 152W00000X 11345 TX
Optometrist 152W00000X OPT15207-TLG CA
Optometrist 152W00000X 0618003317 VA
Optometrist 152W00000X 008146 NY Primary

Addresses

Primary practice location

8022 Melrose Ave
Los Angeles, CA 90046

Mailing address

8022 Melrose Ave
Los Angeles, CA 90046
Phone (213) 221-0552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CT, VA, NY, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160210001606 CA Practitioner - Optometry 9032413125 Reassigns benefits to 3 organizations
I20231027000359 CT Practitioner - Optometry 9032413125 Reassigns benefits to 4 organizations
I20231027001348 VA Practitioner - Optometry 9032413125 Reassigns benefits to 1 organization
I20240201000287 NY Practitioner - Optometry 9032413125 Reassigns benefits to 2 organizations
I20250630004316 TX Practitioner - Optometry 9032413125 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT15207-TLGCAMDOptometrist
121412IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Opto Bar Optometric Inc Optometrist CurrentSince Dec 17, 2023 Accepting new patients
Third Optometric Care of California Optometrist Current Accepting new patients
Brownwood Optometrists, P.C. Optometrist CurrentSince Sep 8, 2025 Accepting new patients
Waterford Optometric PC Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
CVG Optometry, LLC Optometrist CurrentSince Nov 12, 2025 Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Jul 7, 2025 Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Sep 26, 2023 Accepting new patients
Eye Center Optometrics, a Professional Corporation Optometrist CurrentSince Oct 11, 2023 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Oct 16, 2023 Accepting new patients
Troy Humphreys OD Faao, Professional Corporation Optometrist CurrentSince Oct 31, 2023 Accepting new patients
Raffaele Inc CurrentSince Apr 14, 2024 Accepting new patients
Apex Optometric Care PC Optometrist CurrentSince Aug 4, 2024 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince May 8, 2025 Accepting new patients
Eye Center Optometrics, a Professional Corporation Optometrist CurrentSince Oct 11, 2023 Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Jul 7, 2025 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 16, 2023 Accepting new patients
Third Optometric Care of California Optometrist CurrentSince Sep 26, 2023 Accepting new patients
Empire Vision Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 16, 2023 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Oct 16, 2023 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations (25 of 35)

5959 Greenback Ln
Ste 130
Citrus Hts, CA 95621
Phone (916) 726-1818

8022 Melrose Ave
Los Angeles, CA 90046
Phone (714) 717-4035

1001 Sylvan Ave
Ste B
Modesto, CA 95350
Phone (209) 575-2020

1850 N Riverside Ave
Ste 220
Rialto, CA 92376
Phone (909) 421-3003

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

6809 Five Star Blvd
Ste 100A
Rocklin, CA 95677
Phone (916) 624-2020

600 Ash St
Susanville, CA 96130
Phone (530) 257-3636

145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686

18 W Avon Rd
Avon, CT 06001
Phone (860) 673-1667

325 Burnham St
East Hartford, CT 06108

14 Hazard Ave
Enfield, CT 06082
Phone (860) 256-8766

2100 Dixwell Ave
Hamden, CT 06514
Phone (203) 230-8019

45 Asylum St
Hartford, CT 06103
Phone (860) 256-8766

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

174 Danbury Rd
New Milford, CT 06776
Phone (860) 354-5537

903 Hartford Tpke
Unit 29
Waterford, CT 06385
Phone (860) 444-7360

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

3173 Chili Ave
Ste 400
Rochester, NY 14624
Phone (585) 889-0750

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

310 Early Blvd
Early, TX 76802
Phone (325) 643-1826

4775 Loma del Sur Dr
El Paso, TX 79934
Phone (512) 889-2020

7410 Remcon Cir
Ste K
El Paso, TX 79912
Phone (915) 587-9400

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1104230200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "213-221-0552",
            "fax_number": "213-906-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8022 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "213-221-0552",
            "fax_number": "213-906-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "LILAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6963",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3312",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11345",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT15207-TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003317",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.