Active NPI
Dai Dan Le, O.D.
- Optometrist
- Fairfax, VA
National Provider Identifier
1669442000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001141
- Practice address
- 11011 Lee Hwy
Fairfax, VA 22030-5002 - Phone
- (703) 691-7584
- Fax
- (703) 691-9770
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 06018001141 | VA | |
| Optometrist | 152W00000X | 0618001141 | VA | Primary |
Addresses
Primary practice location
11011 Lee Hwy
Fairfax, VA 22030-5002
Mailing address
PO Box 806
Suite 170-452
MC Lean, VA 22101-0806
Phone (703) 622-7233
Other names 1
- Dai Amie Le
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Beulah Rd NE
Suite 101
Vienna, VA 22180-4745
Phone (703) 938-7633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06018001141 | VA | MD | Optometrist |
| 0618001141 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sightrite Medical VA PLLC | Optometrist | Current | Accepting new patients |
| Oliver Opticians | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705
1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474
Organizations & group practices 4
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.
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- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1669442000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 806",
"address_2": "SUITE 170-452",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221010806",
"telephone_number": "703-622-7233",
"fax_number": "916-788-4536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11011 LEE HWY",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305002",
"telephone_number": "703-691-7584",
"fax_number": "703-691-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "DAI",
"middle_name": "DAN",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "06018001141",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAI AMIE",
"last_name": "LE",
"credential": "O.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.