Individual provider Active NPI

Michael Edward Le, O.D.

  • Optometrist
  • Humble, TX
National Provider Identifier
1174678874
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6749TG Issued in TX
Practice address
9665 FM 1960 W. Bypass Rd.
Ste. a
Humble, TX 77338-4043
Phone
(281) 548-2222
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6749TG TX Primary

Addresses

Primary practice location

9665 FM 1960 W. Bypass Rd.
Ste. a
Humble, TX 77338-4043

Mailing address

923 McKinney Park LN
Houston, TX 77003-3642
Phone (713) 223-5410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070913000339 TX Practitioner - Optometry 5395839922 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Eye Care, PLLC Optometrist CurrentSince Jan 5, 2019 Accepting new patients

Locations

9665 FM 1960 Bypass Rd W
Ste A
Humble, TX 77338
Phone (281) 548-2222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174678874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 MCKINNEY PARK LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770033642",
            "telephone_number": "713-223-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9665 FM 1960 W. BYPASS RD.",
            "address_2": "STE. A",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384043",
            "telephone_number": "281-548-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6749TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.