Individual provider Active NPI

Dung Viet Le, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1194392274
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10304 Issued in TX
Practice address
6915 S Zarzamora St Ste 107B
San Antonio, TX 78224-1111
Phone
(210) 251-1398
NPI assigned
Jun 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 10304 TX Primary

Addresses

Primary practice location

6915 S Zarzamora St Ste 107B
San Antonio, TX 78224-1111

Mailing address

6915 S Zarzamora St Ste 107B
San Antonio, TX 78224-1111
Phone (210) 251-1398

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
I20210816002280 TX Practitioner - Optometry 1052716974 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Eyecare PLLC Optometrist CurrentSince Jan 25, 2025 Accepting new patients
Grace Family Eyecare LLC Optometrist CurrentSince Apr 27, 2022 Accepting new patients
RCP Eyecare, PC Optometrist CurrentSince Jul 21, 2021 Accepting new patients

Locations

1209 Interstate 35 S
New Braunfels, TX 78130
Phone (210) 661-3000

3818 S New Braunfels Ave
San Antonio, TX 78223
Phone (210) 532-5261

18030 San Pedro Ave
Ste 250B
San Antonio, TX 78232
Phone (210) 545-3183

6915 S Zarzamora St
#107B
San Antonio, TX 78224
Phone (210) 928-2022

6915 S Zarzamora St
Ste 107B
San Antonio, TX 78224
Phone (210) 251-1398

15900 La Cantera Pkwy
Ste 9915
San Antonio, TX 78256
Phone (210) 641-2405

8222 Agora Pkwy
Ste 116
Selma, TX 78154
Phone (210) 577-1490

Organizations & group practices 3

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1194392274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 S ZARZAMORA ST STE 107B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241111",
            "telephone_number": "210-251-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 S ZARZAMORA ST STE 107B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241111",
            "telephone_number": "210-251-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DUNG",
        "middle_name": "VIET",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.