Individual provider Active NPI

Julia Le Lieu

  • Optometrist
  • Portland, OR
National Provider Identifier
1194294108
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4603 Issued in OR
Practice address
10021 NE Cascades Pkwy Ste S-4B
Portland, OR 97220-6818
Phone
(503) 535-7881
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4603 OR Primary

Addresses

Primary practice location

10021 NE Cascades Pkwy Ste S-4B
Portland, OR 97220-6818

Mailing address

135 NW 9TH Ave Apt 515
Portland, OR 97209-3467
Phone (503) 481-2974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20250205000452 OR Practitioner - Optometry 7416487533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Dr Han Tran and Associates PCGroup PAC ID 4183915481, 4 clinicians

Practice addresses (Care Compare)

10021 NE Cascades Pkwy
Suite S 4B
Portland, OR 97220-6818
Phone (503) 535-7881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Han Tran & Associates, P.C. Optometrist Current Accepting new patients
Dr. Han Tran & Associates, P.C. CurrentSince Nov 29, 2024 Accepting new patients

Locations

12000 SE 82nd Ave
#2012
Portland, OR 97086
Phone (503) 652-1788

12000 SE 82nd Ave
Ste 2012
Portland, OR 97086
Phone (503) 652-1788

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1194294108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NW 9TH AVE APT 515",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093467",
            "telephone_number": "503-481-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 NE CASCADES PKWY STE S-4B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972206818",
            "telephone_number": "503-535-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEU",
        "first_name": "JULIA",
        "middle_name": "LE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.