Phuc Vinh Le, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

12744 Issued in CA

Practice address

6815 Camino Arroyo Ste 60
Gilroy, CA 95020-7077

Phone

(408) 842-0101

Fax

(408) 519-0842

NPI assigned

Jun 1, 2006

Last updated

Mar 25, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dean Vinh Le Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Phuc V Le Optometry Incorporation

  • Optometrist
  • Gilroy, CA
  • NPI 1497814263
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1487691085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 CAMINO ARROYO STE 60",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207077",
            "telephone_number": "408-842-0101",
            "fax_number": "408-519-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 CAMINO ARROYO STE 60",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207077",
            "telephone_number": "408-842-0101",
            "fax_number": "408-519-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "PHUC",
        "middle_name": "VINH",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEAN",
            "last_name": "LE",
            "middle_name": "VINH",
            "credential": "OPTOMETRIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Annie Truong Le
• Carey Le, OTR/L
• Crystal Le
• Duy Anh Le
• Huy Le
• Vivian Tu-Anh Le, OD
• Bronc Skyler Leach
• Emma Katherine Leach
• Royanna Lecuyer-Mangel, MFTI
• Aaron Ross Ledbetter, NP

• Optometrist in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.