Stacey QT Le, OD Professional Optometry Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OP10232 Issued in CA

Legal business name

STACEY QT LE, OD PROFESSIONAL OPTOMETRY CORPORATION

Practice address

7038 Katella Ave
Stanton, CA 90680-2805

Phone

(714) 895-4899

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stacey QT Le, OD

Title

Pres

Phone

(714) 895-4899

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Warren G Ansaldo, O.D.

  • Optometrist
  • Stanton, CA
  • NPI 1134574783
  NPD
• Bich C Tran, O.D.

  • Optometrist
  • Laguna Hills, CA
  • NPI 1093867590
  NPD (past)
• Stacy Comfort Le, M.D.

  • Internal Medicine Physician
  • Huntersville, NC
  • NPI 1841205325
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1609033992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7038 KATELLA AVE",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906802805",
            "telephone_number": "714-895-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7038 KATELLA AVE",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906802805",
            "telephone_number": "714-895-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY QT LE, OD PROFESSIONAL OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "QT",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "714-895-4899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "OP10232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0102320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southland Ambulance LLC
• Cody Spencer
• Alan M Spohn
• Sri Sai Krish Institute
• St Anthony Hospice and Palliative Care, Inc.
• Stanton Pain & Reb Center
• Stanton Pain & Rehab Center Inc
• Amanda Alexandria Stinson
• Esther L Sy, DMD
• Syracuse Residential Care LLC

• Clinic/Center in Stanton, CA
• Providers in Stanton, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.