Individual provider Active NPI

Cassie Marie Le, OD

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1285111641
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2990 Issued in OK
Practice address
8549 N Rockwell Ave
Oklahoma City, OK 73132-1521
Phone
(405) 720-8316
Fax
(405) 421-0944
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2990 OK Primary

Addresses

Primary practice location

8549 N Rockwell Ave
Oklahoma City, OK 73132-1521

Mailing address

17945 Hunting Bow Cir Ste 101
Lutz, FL 33558-5376
Phone (727) 873-0944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20190717000844 OK Practitioner - Optometry 5395070007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyesguys LLCGroup PAC ID 1456518745, 5 clinicians

Practice addresses (Care Compare)

16135 N May Ave
Suite a
Edmond, OK 73013-8977
Phone (405) 751-5638

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2990OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eyesguys LLC Optometrist CurrentSince Jun 20, 2019 Accepting new patients
Jeffrey M. Butcher, OD, PC Optometrist Past Accepting new patients
Butcher Optical III, Inc Optometrist PastSince Jan 1, 2013 Accepting new patients

Locations

16135 N May Ave
Ste A
Edmond, OK 73013
Phone (405) 626-5503

Interoperability endpoints

  • Direct secure messaging: cassie.le.1@17753.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1285111641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17945 HUNTING BOW CIR STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585376",
            "telephone_number": "727-873-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8549 N ROCKWELL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321521",
            "telephone_number": "405-720-8316",
            "fax_number": "405-421-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CASSIE",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.