Organization Active NPI

Vision Care Associates of Burleson PLLC

  • Optometrist
  • Burleson, TX
National Provider Identifier
1235938747
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CARE ASSOCIATES OF BURLESON PLLC
Practice address
951 SW Wilshire Blvd
Burleson, TX 76028-5714
Phone
(214) 998-0934
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Dr. Andre Le, ODNPI 1073566022
Title
Manager
Phone
(817) 295-9696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

951 SW Wilshire Blvd
Burleson, TX 76028-5714

Mailing address

116 E Ellison St Ste C
Burleson, TX 76028-4286
Phone (817) 295-9696

Other names 1

  • Vision Care Associates of Burleson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250602003266 TX Part B Supplier - Clinic/Group Practice 9436668399 Receives reassigned benefits from 2 practitioners
Practice locations: Burleson, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1235938747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E ELLISON ST STE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284286",
            "telephone_number": "817-295-9696",
            "fax_number": "817-295-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 SW WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285714",
            "telephone_number": "214-998-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE ASSOCIATES OF BURLESON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-295-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Care Associates of Burleson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.