Active NPI
Julie M Le, OD
- Optometrist
- Lowell, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5117
- Practice address
- 161 Jackson St
Lowell, MA 01852-2103 - Phone
- (978) 937-9700
- Fax
- (978) 221-6205
- NPI assigned
- Apr 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5117 | MA | Primary |
| Optometrist | 152W00000X | NH0717 | NH |
Addresses
Primary practice location
161 Jackson St
Lowell, MA 01852-2103
Mailing address
474 West Street
Keene, NH 03431
Phone (603) 352-7803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30351596 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700
161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0717 | NH | MD | Registered Dietitian |
| NH0717 | NH | MD | Optometrist |
| 5117 | MA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowell Community Health Center, Inc. | Current | Accepting new patients | |
| Lowell Community Health Center, Inc. | Current | Accepting new patients | |
| Merrimack Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Robert Marc Tyszko | Optometrist | Current | Accepting new patients |
| John F Minteer OD PLLC | Past | Accepting new patients |
Locations
161 Jackson St
Lowell, MA 01852
Phone (978) 746-7867
101 Jackson St
Lowell, MA 01852
Phone (978) 459-8656
2075 S Willow St
Manchester, NH 03103
Phone (603) 424-0404
87 Elm St
Manchester, NH 03101
Phone (603) 935-5966
2075 S Willow St
Ste 2
Manchester, NH 03103
603 Nashua St
Ste 3
Milford, NH 03055
Phone (603) 672-0338
129 Wilton Rd
Peterborough, NH 03458
Phone (603) 924-9591
Interoperability endpoints
- jle18387@direct.ctc.masshiway.net
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Lowell, MA
- NPI 1952307530
-
- Optometrist
- Peterborough, NH
- NPI 1023245305
-
- Community/Retail Pharmacy
- Lowell, MA
- NPI 1295587368
-
- Optometrist
- Merrimack, NH
- NPI 1669685368
-
- Eyewear Supplier
- Peterborough, NH
- NPI 1477738839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1306802178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 WEST STREET",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-352-7803",
"fax_number": "603-358-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 JACKSON ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522103",
"telephone_number": "978-937-9700",
"fax_number": "978-221-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "JULIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5117",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "NH0717",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30351596",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.