Organization Active NPI

Clara Le PLLC

  • Optometrist
  • Haltom City, TX
National Provider Identifier
1275405219
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLARA LE PLLC
Practice address
3910 NE Loop 820 Ste 100
Haltom City, TX 76117-1130
Phone
(469) 952-9052
NPI assigned
Sep 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Clara LeNPI 1700236858
Title
Optometrist
Phone
(469) 952-9052

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

3910 NE Loop 820 Ste 100
Haltom City, TX 76117-1130

Mailing address

1322 Winding Hollow Dr
Grand Prairie, TX 75052-6916
Phone (469) 952-9052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260112000125 TX Part B Supplier - Clinic/Group Practice 4284110123 Receives reassigned benefits from 1 practitioner
Practice locations: Haltom City, TX

National Provider Directory

National Provider Directory

Locations

3910 NE Loop 820
Ste 100
Haltom City, TX 76117
Phone (469) 742-1691

Practitioners & affiliated clinicians

Practitioners 1

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": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1275405219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 WINDING HOLLOW DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526916",
            "telephone_number": "469-952-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 NE LOOP 820 STE 100",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761171130",
            "telephone_number": "469-952-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA LE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "469-952-9052"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haltom City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.