Individual provider Active NPI

David Q Le, O.D.

  • Optometrist
  • Galt, CA
National Provider Identifier
1275510927
Registry record updated Aug 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12393T Issued in CA
Practice address
1061 C St Ste 140
Galt, CA 95632-1768
Phone
(209) 730-7477
Fax
(209) 334-6557
NPI assigned
Dec 23, 2005
Last updated
Aug 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12393T CA Primary

Addresses

Primary practice location

1061 C St Ste 140
Galt, CA 95632-1768

Mailing address

1061 C St Ste 140
Galt, CA 95632-1768
Phone (209) 730-7477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041020000620 CA Practitioner - Optometry 9537120811 Practice locations: Galt, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12393CAMDMental Health Counselor
12393TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas H Murphy OD Inc Optometrist Past Accepting new patients
Thomas H Murphy OD Inc Optometrist Past Accepting new patients
Three Rivers Optometric Group Inc Optometrist Past Accepting new patients

Organizations & group practices 3

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439683200000",
    "number": "1275510927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 C ST STE 140",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956321768",
            "telephone_number": "209-730-7477",
            "fax_number": "209-334-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 C ST STE 140",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956321768",
            "telephone_number": "209-730-7477",
            "fax_number": "209-334-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DAVID",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2015-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12393T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galt, CA

Sources for this page

Verify at the official NPI Registry.