Organization Active NPI

Thuong Le

  • Optometrist
  • College Station, TX
National Provider Identifier
1104268770
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7277TG Issued in TX
Legal business name
THUONG LE
Practice address
1815 Brothers Blvd
College Station, TX 77845-5413
Phone
(979) 695-3937
Fax
(979) 695-3938
NPI assigned
Jul 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Thuong Le, O.D.
Title
Owner
Phone
(979) 695-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7277TG TX Primary

Addresses

Primary practice location

1815 Brothers Blvd
College Station, TX 77845-5413

Mailing address

1815 Brothers Blvd
College Station, TX 77845-5413
Phone (979) 695-3937

Other names 1

  • Brilliant Eye Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1104268770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 BROTHERS BLVD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455413",
            "telephone_number": "979-695-3937",
            "fax_number": "979-695-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 BROTHERS BLVD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455413",
            "telephone_number": "979-695-3937",
            "fax_number": "979-695-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUONG LE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-695-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7277TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brilliant Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.