Individual provider Active NPI

Trang Diem Le, MD

  • Ophthalmology Physician
  • Cedar Hill, TX
National Provider Identifier
1417042193
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H7625 Issued in TX
Practice address
634 Uptown Blvd
Cedar Hill, TX 75104-3507
Phone
(972) 637-1300
Fax
(866) 353-7586
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X H7625 TX Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X H7625 TX

Addresses

Primary practice location

634 Uptown Blvd
Cedar Hill, TX 75104-3507

Mailing address

634 Uptown Blvd
Cedar Hill, TX 75104-3507
Phone (972) 637-1300

Other identifiers 11

IdentifierTypeStateIssuer
0825723OtherAETNA HMO
127222106MedicaidTX
4460608OtherAETNA PPO
751622524OtherUNITED HEALTHCARE
3358824OtherTXBCBD BLUE LINK
0825723OtherAETNA POS
127222107MedicaidTX
180021846OtherTXMEDICARE RR DALLAS COUNTY
86771XOtherTXBCBS ID
0016DQOtherTXBCBS GROUP #
180034451OtherTXMEDICARE RR ELLIS COUNTY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081215000738 TX Practitioner - Ophthalmology 4284796954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates of Texas PAGroup PAC ID 6204998974, 5 clinicians

Practice addresses (Care Compare)

634 Uptown Blvd
Cedar Hill, TX 75104-3507
Phone (972) 637-1300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H7625TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates of Texas, PA Ophthalmology CurrentSince Jan 1, 2009 Accepting new patients
Eyecare Associates of Texas, PA PastSince Jan 1, 2009 Accepting new patients

Locations

634 Uptown Blvd
Cedar Hill, TX 75104
Phone (972) 296-2929

907 S Main St
Ste 203
Duncanville, TX 75137
Phone (972) 296-2929

507 W Crossland Blvd
Grand Prairie, TX 75052
Phone (972) 296-2929

1408 N 9th St
Midlothian, TX 76065
Phone (972) 296-2929

Interoperability endpoints

  • Direct secure messaging: trang.le@direct.texaseyes.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1417042193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 UPTOWN BLVD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043507",
            "telephone_number": "972-637-1300",
            "fax_number": "866-353-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 UPTOWN BLVD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043507",
            "telephone_number": "972-637-1300",
            "fax_number": "866-353-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "TRANG",
        "middle_name": "DIEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H7625",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "TX",
            "license": "H7625",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0825723",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127222106",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4460608",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "751622524",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBD BLUE LINK",
            "identifier": "3358824",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA POS",
            "identifier": "0825723",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127222107",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR DALLAS COUNTY",
            "identifier": "180021846",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "86771X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0016DQ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR ELLIS COUNTY",
            "identifier": "180034451",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.