Individual provider Active NPI

Yen Thi Hong Le, OD

  • Optometrist
  • Mayodan, NC
National Provider Identifier
1295048981
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2202 Issued in NC
Practice address
6711 NC Highway 135
Mayodan, NC 27027-8487
Phone
(336) 427-2900
Fax
(336) 427-2915
NPI assigned
Jul 22, 2010
Last updated
Jun 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002351 PA
Optometrist 152W00000X 2202 NC Primary

Addresses

Primary practice location

6711 NC Highway 135
Mayodan, NC 27027-8487

Mailing address

6711 NC Highway 135
Mayodan, NC 27027-8487
Phone (336) 427-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110906000072 NC Practitioner - Optometry 2567656275 Practice locations: Mayodan, NC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6711 NC Hwy 135
Happy Family Eyecare
Mayodan, NC 27027-8487
Phone (336) 427-2900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202NCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1295048981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 NC HIGHWAY 135",
            "city": "MAYODAN",
            "state": "NC",
            "postal_code": "270278487",
            "telephone_number": "336-427-2900",
            "fax_number": "336-427-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 NC HIGHWAY 135",
            "city": "MAYODAN",
            "state": "NC",
            "postal_code": "270278487",
            "telephone_number": "336-427-2900",
            "fax_number": "336-427-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "YEN",
        "middle_name": "THI HONG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002351",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayodan, NC

Sources for this page

Verify at the official NPI Registry.