Individual provider Active NPI

Lisa Trang Le, O.D.

  • Optometrist
  • Sugar Land, TX
National Provider Identifier
1720255169
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4993TG Issued in TX
Practice address
13425 University Blvd Ste 800
Sugar Land, TX 77479-3700
Phone
(281) 240-9668
Fax
(281) 277-0064
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4993TG TX Primary

Addresses

Primary practice location

13425 University Blvd Ste 800
Sugar Land, TX 77479-3700

Mailing address

13425 University Blvd Ste 800
Sugar Land, TX 77479-3700
Phone (281) 240-9668

Other identifiers 3

IdentifierTypeStateIssuer
81916QOtherTXBLUECROSS BLUESHIELD
5008734OtherTXAETNA
1090735OtherTXCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080605000236 TX Practitioner - Optometry 9739259508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13425 University Blvd
Suite 800
Sugar Land, TX 77479-3700
Phone (832) 274-5562

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Le, O D P a Optometrist CurrentSince Apr 11, 2008 Accepting new patients
Lakeside Eye Associates PC Optometrist PastSince Sep 15, 2015 Accepting new patients

Locations

10972 Westheimer Rd
Houston, TX 77042
Phone (713) 266-5842

13425 University Blvd
Ste 800
Sugar Land, TX 77479
Phone (281) 240-9668

Organizations & group practices 2

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1720255169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 UNIVERSITY BLVD STE 800",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793700",
            "telephone_number": "281-240-9668",
            "fax_number": "281-277-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 UNIVERSITY BLVD STE 800",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793700",
            "telephone_number": "281-240-9668",
            "fax_number": "281-277-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "LISA",
        "middle_name": "TRANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4993TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "81916Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5008734",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1090735",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.