Organization Active NPI

Dr. Hoangnhan Le, O.D., Inc.

  • Optometrist
  • Buena Park, CA
National Provider Identifier
1154068070
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. HOANGNHAN LE, O.D., INC.
Practice address
5811 Beach Blvd
Buena Park, CA 90621-2021
Phone
(714) 521-7582
NPI assigned
May 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Dr. Hoangnhan H Le, ODNPI 1215308010
Title
Ceo
Phone
(714) 553-7696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5811 Beach Blvd
Buena Park, CA 90621-2021

Mailing address

5811 Beach Blvd
Buena Park, CA 90621-2021
Phone (714) 521-7582

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220614003254 CA Part B Supplier - Clinic/Group Practice 0042699423 Receives reassigned benefits from 1 practitioner
Practice locations: Buena Park, CA

National Provider Directory

National Provider Directory

Locations

5811 Beach Blvd
Buena Park, CA 90621
Phone (714) 521-7582

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1154068070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212021",
            "telephone_number": "714-521-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212021",
            "telephone_number": "714-521-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HOANGNHAN LE, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "HOANGNHAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-553-7696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.