Jacquelin Le, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

10962T Issued in CA

Practice address

17631 W Bernardo Dr Ste a
Suite a
San Diego, CA 92127-1135

Phone

(858) 487-7900

Fax

(858) 487-1896

NPI assigned

Apr 26, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jacquelin.le.p3@direct.inlandeyespecialists.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Optometric Center

  • Optometrist
  • Merced, CA
  • NPI 1902901564
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487610432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17631 W BERNARDO DR STE A",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271135",
            "telephone_number": "858-487-7900",
            "fax_number": "858-487-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17631 W BERNARDO DR STE A",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271135",
            "telephone_number": "858-487-7900",
            "fax_number": "858-487-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JACQUELIN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10962T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0109620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Han Le
• Hanh My Le, M.D.
• Hien Nhat Thu Le
• Hien Thi Le, M.D., PH.D.
• Huan A. Le, M.D.
• Jacqueline Quynh-Anh Le, PHARMD
• Jaden Ngoc Le
• James K Le, D.D.S., M.S.
• Jason Le
• Jenny Thi Le, PHARM.D

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.