Individual provider Active NPI

Le My Duong, O.D.

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1568796092
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13753 TLG Issued in CA
Practice address
2525 Westminster Ave
Suite D
Santa Ana, CA 92706-2143
Phone
(714) 884-4221
Fax
(714) 884-3632
NPI assigned
Oct 1, 2009
Last updated
Jul 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13753 TLG CA Primary

Addresses

Primary practice location

2525 Westminster Ave
Suite D
Santa Ana, CA 92706-2143

Mailing address

2525 Westminster Ave
Suite D
Santa Ana, CA 92706
UM
Phone (714) 884-4221

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429001242 CA Practitioner - Optometry 8224165881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 Westminster Ave
Suite D
Santa Ana, CA 92706-2143
Phone (714) 884-4221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
West Eyecare Optometry PC Optometrist CurrentSince Jul 16, 2015 Accepting new patients
Golden San Gabriel Optometric Vision Center Optometrist CurrentSince Mar 1, 2010 Accepting new patients

Locations

140 W Valley Blvd
Ste 115
San Gabriel, CA 91776
Phone (626) 288-8023

2525 Westminster Ave
Ste D
Santa Ana, CA 92706
Phone (714) 884-4221

Organizations & group practices 3

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1568796092",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2525 WESTMINSTER AVE",
            "address_2": "SUITE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92706",
            "telephone_number": "714-884-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WESTMINSTER AVE",
            "address_2": "SUITE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062143",
            "telephone_number": "714-884-4221",
            "fax_number": "714-884-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "LE",
        "middle_name": "MY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13753 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.