Individual provider Active NPI

Ann Nhu Le, O.D.

  • Optometrist
  • Indio, CA
National Provider Identifier
1285006874
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT15256 Issued in CA
Practice address
82227 US Highway 111
Indio, CA 92201-5667
Phone
(760) 347-6636
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT15256 CA Primary

Addresses

Primary practice location

82227 US Highway 111
Indio, CA 92201-5667

Mailing address

82227 US Highway 111 Ste B2
Indio, CA 92201-5668
Phone (760) 347-6636

Other practice location 1

5722 Telephone Rd
#C6
Ventura, CA 93003-5318
Phone (805) 644-2386

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
I20161024001359 CA Practitioner - Optometry 9335427590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Brasfield OD a Professional CorporationGroup PAC ID 0749577088, 8 clinicians

Practice addresses (Care Compare)

52565 Cesar Chavez St
Suite 105
Coachella, CA 92236-1534
Phone (760) 398-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT15256CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Brasfield OD a Professional Corporation Optometrist CurrentSince Jun 10, 2017 Accepting new patients
Dr. Gregory L. McFarland, O.D., P.C Optometrist PastSince Apr 9, 2018 Accepting new patients
Silver Strand Optometry Corp Optometrist PastSince Sep 27, 2016 Accepting new patients
R F Ccollins & S Goodman PTRS Optometrist PastSince May 1, 2013 Accepting new patients
Robert F. Collins Optometrist PastSince Sep 27, 2016 Accepting new patients

Locations

34131 Date Palm Dr
Ste F1
Cathedral City, CA 92234

52565 Harrison St
Ste 105
Coachella, CA 92236
Phone (760) 347-6636

82227 US Highway 111
Ste B2
Indio, CA 92201
Phone (760) 347-6636

400 S Farrell Dr
Ste B130
Palm Springs, CA 92262
Phone (760) 347-6636

Organizations & group practices 6

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285006874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82227 US HIGHWAY 111 STE B2",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015668",
            "telephone_number": "760-347-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82227 US HIGHWAY 111",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015667",
            "telephone_number": "760-347-6636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5722 Telephone Rd",
            "address_2": "#C6",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930035318",
            "country_code": "US",
            "telephone_number": "805-644-2386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "ANN",
        "middle_name": "NHU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT15256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.