Active NPI
Minh Nhat Vu Le, OPTOMETRIST
- Optometrist
- San Jose, CA
National Provider Identifier
1316936792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT11843T
- Practice address
- 1652 E Capitol Expy
San Jose, CA 95121-1839 - Phone
- (408) 528-0991
- Fax
- (408) 528-0994
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT11843T | CA | Primary |
Addresses
Primary practice location
1652 E Capitol Expy
San Jose, CA 95121-1839
Mailing address
1652 E Capitol Expy
San Jose, CA 95121-1839
Phone (408) 528-0991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD605Z | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11843 | CA | MD | Chiropractor |
| OPT11843T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minh Nhat Le OD, Inc. | Optometrist | Current | Accepting new patients |
Locations
1652 E Capitol Expy
San Jose, CA 95121
Phone (408) 528-0991
Organizations & group practices 1
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.
-
- Optometrist
- San Jose, CA
- NPI 1366673998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1316936792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1652 E CAPITOL EXPY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211839",
"telephone_number": "408-528-0991",
"fax_number": "408-528-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1652 E CAPITOL EXPY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211839",
"telephone_number": "408-528-0991",
"fax_number": "408-528-0994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "MINH NHAT",
"middle_name": "VU",
"name_prefix": "Dr.",
"credential": "OPTOMETRIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT11843T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CD605Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.