Individual provider Active NPI

Kristine Le Nguyen, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1316520372
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5974 Issued in FL
Practice address
5885 Gunn Hwy
Tampa, FL 33625-4007
Phone
(813) 908-0100
Fax
(813) 908-0099
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 5974 FL
Pediatric Optometrist 152WP0200X 5974 FL
Optometrist 152W00000X 5974 FL Primary

Addresses

Primary practice location

5885 Gunn Hwy
Tampa, FL 33625-4007

Mailing address

15017 N Dale Mabry Hwy # 1109
Tampa, FL 33618-1816
Phone (813) 618-7218

Other practice location 1

8504 Citrus Park Dr
Tampa, FL 33625-3003
Phone (813) 514-9220

Other practice location 2

1929 W Brandon Blvd
Brandon, FL 33511-4813
Phone (813) 699-4390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210803001235 FL Practitioner - Optometry 4082018791 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5974FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
B&B Florida Eye Care PLLC Optometrist CurrentSince Jul 26, 2021 Accepting new patients
William H Stephen OD PA Optometrist CurrentSince Aug 17, 2025 Accepting new patients
Pearle Capstone Eye Associates, PLLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Suncoast Eyecare Centers PLLC Optometrist PastSince Oct 1, 2022 Accepting new patients

Locations

25434 Sierra Center Blvd
Lutz, FL 33559
Phone (813) 452-4442

13555 Highway 54
Ste C
Odessa, FL 33556
Phone (813) 454-0670

7855 113th St
Ste A
Seminole, FL 33772
Phone (727) 317-6174

5885 Gunn Hwy
Tampa, FL 33625
Phone (813) 908-0100

8504 Citrus Park Dr
Tampa, FL 33625
Phone (813) 514-9220

510 E Memorial Rd
Ste A4
Oklahoma City, OK 73114
Phone (405) 777-4726

1601 NW Expressway
Ste 1420
Oklahoma City, OK 73118

Interoperability endpoints

  • Direct secure messaging: kle@bandbfloridaeyecare.emadirect.md

Organizations & group practices 4

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1316520372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15017 N DALE MABRY HWY # 1109",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181816",
            "telephone_number": "813-618-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254007",
            "telephone_number": "813-908-0100",
            "fax_number": "813-908-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8504 Citrus Park Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336253003",
            "country_code": "US",
            "telephone_number": "813-514-9220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1929 W Brandon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114813",
            "country_code": "US",
            "telephone_number": "813-699-4390",
            "fax_number": "813-681-8743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KRISTINE LE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "5974",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "5974",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.