Active NPI
Jennifer Le
- Optometrist
- Dorchester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5004
- Practice address
- 636 Columbia Rd
Dorchester, MA 02125-3416 - Phone
- (617) 825-9839
- NPI assigned
- Nov 19, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTG00603 | RI | |
| Optometrist | 152W00000X | 5004 | MA | Primary |
Addresses
Primary practice location
636 Columbia Rd
Dorchester, MA 02125-3416
Mailing address
636 Columbia Rd
Dorchester, MA 02125-3416
Phone (617) 825-9839
Other practice location 1
30 Leeward Rd
Fall River, MA 02720-7914
Phone (508) 642-4215
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jele@uphams.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Columbia Rd
Dorchester, MA 02125-2424
Phone (617) 287-8000
500 Columbia Rd
Dorchester, MA 02125-2322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upham'S Corner Health Committee, Inc. | Current | Accepting new patients |
Locations
636 Columbia Rd
Dorchester, MA 02125
Phone (617) 825-9839
415 Columbia Rd
Uphams Corner, MA 02125
Phone (617) 287-8000
500 Columbia Rd
Uphams Corner, MA 02125
Phone (617) 287-8000
Interoperability endpoints
- jle310596@direct.ochin.org
Organizations & group practices 1
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.
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780780486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1538599014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 COLUMBIA RD",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021253416",
"telephone_number": "617-825-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 COLUMBIA RD",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021253416",
"telephone_number": "617-825-9839"
}
],
"practiceLocations": [
{
"address_1": "30 Leeward Rd",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027207914",
"country_code": "US",
"telephone_number": "508-642-4215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "ODTG00603",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5004",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jele@uphams.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "636 Columbia Rd",
"city": "Dorchester",
"state": "MA",
"country_code": "US",
"postal_code": "021253416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.