Individual provider Active NPI

Kristyna Danthanh Le, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1558500538
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6360T Issued in TX
Practice address
11200 Northwest Fwy
Ste.900
Houston, TX 77092-6542
Phone
(713) 686-3333
Fax
(713) 686-3336
NPI assigned
Feb 13, 2009
Last updated
Feb 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6360T TX Primary

Addresses

Primary practice location

11200 Northwest Fwy
Ste.900
Houston, TX 77092-6542

Mailing address

11200 Northwest Fwy
Ste.900
Houston, TX 77092-6542
Phone (713) 686-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6360TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Eyecare, P.a. Optometrist PastSince Oct 30, 2009 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1558500538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 NORTHWEST FWY",
            "address_2": "STE.900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926542",
            "telephone_number": "713-686-3333",
            "fax_number": "713-686-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 NORTHWEST FWY",
            "address_2": "STE.900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926542",
            "telephone_number": "713-686-3333",
            "fax_number": "713-686-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "KRISTYNA",
        "middle_name": "DANTHANH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6360T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.