Individual provider Active NPI

Thuy Mong Le, O.D.

  • Optometrist
  • Alpharetta, GA
National Provider Identifier
1205286010
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002941 Issued in GA
Practice address
5755 N Point Pkwy Ste 72
Alpharetta, GA 30022-1146
Phone
(770) 410-1540
Fax
(770) 410-7525
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002941 GA Primary

Addresses

Primary practice location

5755 N Point Pkwy Ste 72
Alpharetta, GA 30022-1146

Mailing address

5755 N Point Pkwy Ste 72
Alpharetta, GA 30022-1146
Phone (770) 410-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20161114001373 GA Practitioner - Optometry 3678852704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5755 N Point Pkwy
Suite 72
Alpharetta, GA 30022-1146
Phone (770) 410-1540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002941GAMDOptometrist

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1205286010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 72",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221146",
            "telephone_number": "770-410-1540",
            "fax_number": "770-410-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 72",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221146",
            "telephone_number": "770-410-1540",
            "fax_number": "770-410-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THUY",
        "middle_name": "MONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.