Organization Active NPI

Phuc V Le Optometry Incorporation

  • Optometrist
  • Gilroy, CA
National Provider Identifier
1497814263
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12744T Issued in CA
Legal business name
PHUC V LE OPTOMETRY INCORPORATION
Practice address
6815 Camino Arroyo Ste 60
Gilroy, CA 95020-7077
Phone
(408) 842-0101
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Dr. Phuc V Le, O.D.NPI 1487691085
Title
President
Phone
(408) 842-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12744T CA Primary

Addresses

Primary practice location

6815 Camino Arroyo Ste 60
Gilroy, CA 95020-7077

Mailing address

6815 Camino Arroyo Ste 60
Gilroy, CA 95020-7077
Phone (408) 842-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151020000822 CA Part B Supplier - Clinic/Group Practice 4183932106 Receives reassigned benefits from 2 practitioners
Practice locations: Gilroy, CA

National Provider Directory

National Provider Directory

Locations

6815 Camino Arroyo
Ste 60
Gilroy, CA 95020
Phone (408) 842-0101

6815 Camino Arroyo
Gilroy, CA 95020

2063 Camden Ave
San Jose, CA 95124
Phone (408) 377-1479

979 Story Rd
Unit 7009
San Jose, CA 95122
Phone (408) 900-2000

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1497814263",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUC V LE OPTOMETRY INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PHUC",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-842-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12744T",
            "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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.