Active NPI
Khanhtrang Le, O.D.
- Optometrist
- Fontana, CA
National Provider Identifier
1447303896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP10259T
- Practice address
- 16505 Sierra Lakes Parkway
Fontana, CA 92336 - Phone
- (909) 770-5652
- Fax
- (909) 770-5651
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- 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 | OP10259T | CA | Primary |
Addresses
Primary practice location
16505 Sierra Lakes Parkway
Fontana, CA 92336
Mailing address
16505 Sierra Lakes Parkway
Fontana, CA 92336
Phone (909) 770-5652
Other names 1
- Dr. KT Le
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP10259T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447303896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16505 SIERRA LAKES PARKWAY",
"city": "FONTANA",
"state": "CA",
"postal_code": "92336",
"telephone_number": "909-770-5652",
"fax_number": "909-770-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16505 SIERRA LAKES PARKWAY",
"city": "FONTANA",
"state": "CA",
"postal_code": "92336",
"telephone_number": "909-770-5652",
"fax_number": "909-770-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "KHANHTRANG",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OP10259T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KT",
"last_name": "LE",
"prefix": "DR.",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.