Individual provider Active NPI

Allison Hongdiep Cao-Le, O D

  • Vision Therapy Optometrist
  • Monterey, CA
National Provider Identifier
1114041746
Registry record updated Dec 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
11808T Issued in CA
Practice address
454 Alvarado St
Monterey, CA 93940-2717
Phone
(831) 372-9100
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 11808T CA Primary

Addresses

Primary practice location

454 Alvarado St
Monterey, CA 93940-2717

Mailing address

454 Alvarado St
Monterey, CA 93940-2717
Phone (831) 372-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000510 CA Practitioner - Optometry 5294704672 Practice locations: Monterey, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

454 Alvarado St
Monterey, CA 93940-2717
Phone (831) 372-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11808TCAMDVision Therapy Optometrist
11808CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198886400000",
    "number": "1114041746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 ALVARADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402717",
            "telephone_number": "831-372-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ALVARADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402717",
            "telephone_number": "831-372-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO-LE",
        "first_name": "ALLISON",
        "middle_name": "HONGDIEP",
        "credential": "O D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "11808T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.