Active NPI
Vivian Tu-Anh Le, OD
- Optometrist
- Gilroy, CA
National Provider Identifier
1497479075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT35174-TLG
- Practice address
- 7526 Monterey St
Gilroy, CA 95020-5826 - Phone
- (408) 457-7100
- NPI assigned
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 | OPT35174-TLG | CA | Primary |
Addresses
Primary practice location
7526 Monterey St
Gilroy, CA 95020-5826
Mailing address
1189 Fox Hollow CT
Milpitas, CA 95035-3454
Phone (408) 824-0607
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230928001408 | CA | Order and Referring Only - Optometry | 8426402165 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT35174-TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1497479075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1189 FOX HOLLOW CT",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950353454",
"telephone_number": "408-824-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7526 MONTEREY ST",
"city": "GILROY",
"state": "CA",
"postal_code": "950205826",
"telephone_number": "408-457-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "VIVIAN",
"middle_name": "TU-ANH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT35174-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.