Individual provider Active NPI

Camtu Le, O.D.

  • Optometrist
  • Santa Barbara, CA
National Provider Identifier
1124575410
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34429TLG Issued in CA
Practice address
4141 State St Ste B2
Santa Barbara, CA 93110-1851
Phone
(805) 681-7144
NPI assigned
Sep 5, 2016
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9069T TX
Optometrist 152W00000X 34429TLG CA Primary

Addresses

Primary practice location

4141 State St Ste B2
Santa Barbara, CA 93110-1851

Mailing address

4141 State St Ste B11
Santa Barbara, CA 93110-1898

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
I20191224000120 CA Practitioner - Optometry 1557795630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Indian Health and Services CorporationGroup PAC ID 3375527880, 11 clinicians

Practice addresses (Care Compare)

4141 State St
B2
Santa Barbara, CA 93110-1851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34429CAMDPediatric Dentist
34429TLGCAMDOptometrist
9069TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
American Indian Health & Services Corporation CurrentSince Oct 22, 2019 Accepting new patients
American Indian Health & Services Corporation PastSince Sep 15, 2019 Accepting new patients

Locations

4141 State St
Ste B11
Santa Barbara, CA 93110
Phone 8056817144 ext. 216

4141 State St
Ste B2
Santa Barbara, CA 93110
Phone (805) 681-7144

Interoperability endpoints

  • Direct secure messaging: camtu.le.p1@direct.aihs.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1473033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1124575410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 STATE ST STE B11",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 STATE ST STE B2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101851",
            "telephone_number": "805-681-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CAMTU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-05",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9069T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34429TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.