Individual provider Active NPI

Ngan Le, OD

  • Optometrist
  • Lakewood, CO
National Provider Identifier
1194489138
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003747 Issued in CO
Practice address
355 S Wadsworth Blvd Unit D
Lakewood, CO 80226-3136
Phone
(720) 962-6906
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0003747 CO Primary

Addresses

Primary practice location

355 S Wadsworth Blvd Unit D
Lakewood, CO 80226-3136

Mailing address

355 S Wadsworth Blvd Unit D
Lakewood, CO 80226-3136
Phone (720) 335-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20211217002113 CO Practitioner - Optometry 3779974159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003747COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sowash Optometry Group PC Optometrist CurrentSince Nov 8, 2021 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Nov 8, 2021 Accepting new patients
Sowash Optometry Group PC Optometrist Past Accepting new patients
Sowash Optometry Group PC Past Accepting new patients

Locations

355 S Wadsworth Blvd
Unit D
Lakewood, CO 80226
Phone (720) 962-6906

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

Organizations & group practices 4

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1194489138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S WADSWORTH BLVD UNIT D",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263136",
            "telephone_number": "720-335-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S WADSWORTH BLVD UNIT D",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263136",
            "telephone_number": "720-962-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "NGAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-12-07",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.