Individual provider Active NPI

Quynh Nhu Le, OD

  • Optometrist
  • Syracuse, NY
National Provider Identifier
1275325623
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011206 Issued in NY
Practice address
9537 Destiny USA Dr # 723
Syracuse, NY 13204-6140
Phone
(315) 474-8490
Fax
(315) 474-8676
NPI assigned
May 21, 2025
Last updated
Dec 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011206 NY Primary

Addresses

Primary practice location

9537 Destiny USA Dr # 723
Syracuse, NY 13204-6140

Mailing address

9537 Destiny USA Dr # 723
Syracuse, NY 13204-6140
Phone (315) 474-8490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250918001998 NY Practitioner - Optometry 0345744710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

244 Mildred Ave
Syracuse, NY 13206-3213

303 W Seneca St
Oswego, NY 13126-1831

4000 Luxottica PL
Mason, OH 45040-8114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Dexter, O.D., P.C. Optometrist CurrentSince Aug 3, 2025 Accepting new patients
David J Dexter OD PC Optometrist Current Accepting new patients

Locations

120 E 1st St
Ste 1
Oswego, NY 13126
Phone (315) 343-2020

303 W Seneca St
Oswego, NY 13126
Phone (315) 343-2020

Interoperability endpoints

  • FHIR API: https://davidjdexterodpc.ef.prod.fhir.ema-api.com/fhir/r4/
  • FHIR API: https://davidjdexterodpcwatertown.ef.prod.fhir.ema-api.com/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1275325623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9537 DESTINY USA DR # 723",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132046140",
            "telephone_number": "315-474-8490",
            "fax_number": "315-474-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9537 DESTINY USA DR # 723",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132046140",
            "telephone_number": "315-474-8490",
            "fax_number": "315-474-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "QUYNH NHU",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.