Individual provider Active NPI

Thuyanh Dang Le, O.D.

  • Optometrist
  • Billerica, MA
National Provider Identifier
1457515058
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4707 Issued in MA
Practice address
660 Boston Rd
Billerica, MA 01821-5318
Phone
(781) 933-2820
Fax
(781) 938-9567
NPI assigned
Jul 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 4707 MA
Optometrist 152W00000X 4707 MA Primary

Addresses

Primary practice location

660 Boston Rd
Billerica, MA 01821-5318

Mailing address

660 Boston Rd
Billerica, MA 01821-5318
Phone (781) 933-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20091222000099 MA Practitioner - Optometry 3678613767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

192 Lexington St
Woburn, MA 01801-4741
Phone (781) 933-2820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4707MAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Le Vision Optometrist CurrentSince Oct 29, 2013 Accepting new patients
Urban Eye MD Associates, P.C PastSince Mar 13, 2006 Accepting new patients

Locations

660 Boston Rd
Billerica, MA 01821
Phone (781) 933-2820

192 Lexington St
Woburn, MA 01801
Phone (781) 588-3885

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.

NPI Registry JSON

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

{
    "created_epoch": "1215820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1457515058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215318",
            "telephone_number": "781-933-2820",
            "fax_number": "781-938-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215318",
            "telephone_number": "781-933-2820",
            "fax_number": "781-938-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THUYANH",
        "middle_name": "DANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-12",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "4707",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

Verify at the official NPI Registry.