Individual provider Active NPI

Dai Dan Le, O.D.

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1669442000
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001141 Issued in VA
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

Updated by the provider on May 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060223000191 DC Practitioner - Optometry 4486660750 Reassigns benefits to 2 organizations
Practice locations: Fairfax, VA
I20210610002142 VA Practitioner - Optometry 4486660750 Reassigns benefits to 1 organization

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
C. Richard Snively, Jr., O.D.,P.C.Group PAC ID 7517093859, 4 clinicians

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

LicenseStateTypeSpecialty
06018001141VAMDOptometrist
0618001141VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Medical VA PLLC Optometrist CurrentSince Jun 1, 2021 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.

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

Verify at the official NPI Registry.