Nicholas Le OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4337 Issued in FL

Legal business name

NICHOLAS LE OD LLC

Practice address

4750 Millenia Plaza Way
Orlando, FL 32839-2434

Phone

(407) 541-0021

NPI assigned

Jul 6, 2012

Organization subpart

No

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

Authorized official

Name

Nicholas Le, OD

Title

Mananging Member

Phone

(904) 613-7503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1639434566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 ALAFAYA TRL",
            "address_2": "SUITE 212-311",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659412",
            "telephone_number": "904-613-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 MILLENIA PLAZA WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328392434",
            "telephone_number": "407-541-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS LE OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MANANGING MEMBER",
        "authorized_official_telephone_number": "904-613-7503",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucille Arlene Nibbs-James, M.S.
• Kiefanie Nibbs, LMHC
• Bobby Nibhanupudy, MD
• Nich'K Beauty RX
• Nicholas G. Bagnoli DO PA
• Brooke Ashlyn Nicholas, DNP
• Irene Nicholas
• Natacha M Nicholas
• Nichelle Maria Nicholas
• Rhianna L Nicholas, RBT

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.