Individual provider Active NPI

Jennifer N. Le, O.D.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1699878991
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10087 Issued in CA
Practice address
2722 Aborn Rd
San Jose, CA 95121-1204
Phone
(408) 223-2020
Fax
(408) 531-1987
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10087 CA Primary

Addresses

Primary practice location

2722 Aborn Rd
San Jose, CA 95121-1204

Mailing address

2722 Aborn Rd.
San Jose, CA 95121-1204
Phone (408) 223-2020

Other identifiers 1

IdentifierTypeStateIssuer
SD0100870MedicaidCA

Other names 1

  • Mrs. Jennifer N. Bui Other name

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
I20031124000756 CA Practitioner - Optometry 7810891561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2722 Aborn Rd
San Jose, CA 95121-1204
Phone (408) 223-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10087CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Bui & Le Optometry Professional Corporation Optometrist CurrentSince Dec 13, 1993 Accepting new patients

Locations

1013 E Capitol Expy
San Jose, CA 95121
Phone (408) 281-1311

2722 Aborn Rd
San Jose, CA 95121
Phone (408) 223-2020

Organizations & group practices 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1699878991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 ABORN RD.",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211204",
            "telephone_number": "408-223-2020",
            "fax_number": "408-531-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211204",
            "telephone_number": "408-223-2020",
            "fax_number": "408-531-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JENNIFER",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0100870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BUI",
            "middle_name": "N.",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.