Organization Active NPI

Horizon Optometry Group, PC

  • Optometrist
  • Westminster, CA
National Provider Identifier
1306430384
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HORIZON OPTOMETRY GROUP, PC
Practice address
14361 Beach Blvd Ste 201
Westminster, CA 92683-8140
Phone
(714) 775-0019
Fax
(714) 775-0026
NPI assigned
Feb 22, 2021
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Dr. Kellee L Tea Le, OD
Title
Secretary
Phone
(714) 775-7045

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary
Low Vision Rehabilitation OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WL0500X

Addresses

Primary practice location

14361 Beach Blvd Ste 201
Westminster, CA 92683-8140

Mailing address

14361 Beach Blvd Ste 201
Westminster, CA 92683-8140
Phone (714) 684-1711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220128000381 CA Part B Supplier - Clinic/Group Practice 9739571597 Receives reassigned benefits from 3 practitioners
Practice locations: Westminster, CA

National Provider Directory

National Provider Directory

Locations

14361 Beach Blvd
Ste 201
Westminster, CA 92683
Phone (714) 684-1711

9600 Bolsa Ave
Ste Ch
Westminster, CA 92683
Phone (714) 775-7045

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1306430384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14361 BEACH BLVD STE 201",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838140",
            "telephone_number": "714-684-1711",
            "fax_number": "714-775-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14361 BEACH BLVD STE 201",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838140",
            "telephone_number": "714-775-0019",
            "fax_number": "714-775-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON OPTOMETRY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "TEA LE",
        "authorized_official_first_name": "KELLEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-775-7045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.