Organization Active NPI

Lance Le Optometry Services, P.C.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1346422664
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6124T Issued in TX
Legal business name
LANCE LE OPTOMETRY SERVICES, P.C.
Practice address
14999 Preston Rd
Suite 220D
Dallas, TX 75254-9116
Phone
(972) 663-3937
Fax
(972) 663-3938
NPI assigned
Nov 28, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Lance Le, O.D.NPI 1861477267
Title
Owner
Phone
(972) 663-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6124T TX Primary

Addresses

Primary practice location

14999 Preston Rd
Suite 220D
Dallas, TX 75254-9116

Mailing address

14999 Preston Rd
Suite 220D
Dallas, TX 75254-9116
Phone (972) 663-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000895 TX Part B Supplier - Clinic/Group Practice 2163409830 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

14891 Preston Rd
Ste 160
Dallas, TX 75254
Phone (972) 663-3937

14999 Preston Rd
Ste 220
Dallas, TX 75254
Phone (972) 663-3937

14999 Preston Rd
Ste 220D
Dallas, TX 75254
Phone (972) 663-3937

2505 Wycliff Ave
Ste C
Dallas, TX 75219
Phone (214) 521-3937

Practitioners & affiliated clinicians

Practitioners 1

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1346422664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 PRESTON RD",
            "address_2": "SUITE 220D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549116",
            "telephone_number": "972-663-3937",
            "fax_number": "972-663-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 PRESTON RD",
            "address_2": "SUITE 220D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549116",
            "telephone_number": "972-663-3937",
            "fax_number": "972-663-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE LE OPTOMETRY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-663-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6124T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.