Individual provider Active NPI

Nhu Y Le, OD

  • Optometrist
  • Millville, DE
National Provider Identifier
1700433505
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0011429 Issued in DE
Practice address
35786 Atlantic Ave Unit 1
Millville, DE 19967-6955
Phone
(302) 537-0234
Fax
(302) 537-0279
NPI assigned
Aug 26, 2019
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003597 PA
Optometrist 152W00000X I3-0011429 DE Primary

Addresses

Primary practice location

35786 Atlantic Ave Unit 1
Millville, DE 19967-6955

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

135 E 38th St
Erie, PA 16504-1559
Phone (814) 868-8661 ext. 3265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20210316000736 DE Practitioner - Optometry 0042626129 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I3-0011429DEMDOptometrist
OEG003597PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Delaware PA Optometrist Current Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Dec 12, 2020 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Dec 12, 2020 Accepting new patients

Locations

885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861

501 College Park Ln
Georgetown, DE 19947
Phone (302) 253-2020

35786 Atlantic Ave
Unit 1
Millville, DE 19967
Phone (302) 537-0234

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1700433505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35786 ATLANTIC AVE UNIT 1",
            "city": "MILLVILLE",
            "state": "DE",
            "postal_code": "199676955",
            "telephone_number": "302-537-0234",
            "fax_number": "302-537-0279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 E 38th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165041559",
            "country_code": "US",
            "telephone_number": "814-868-8661 x3265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "NHU Y",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003597",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0011429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, DE

Sources for this page

Verify at the official NPI Registry.