Individual provider Active NPI

Brandon Bao Le, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1740962323
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10898 Issued in TX
Practice address
4401 Martin Luther King Blvd
Houston, TX 77204-3069
Phone
(713) 743-1921
Fax
(713) 743-0963
NPI assigned
Aug 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10898 TX Primary

Addresses

Primary practice location

4401 Martin Luther King Blvd
Houston, TX 77204-3069

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

9550 Spring Green Blvd
Katy, TX 77494-3758
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
10898OtherTXTEXAS OPTOMETRY BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC2 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
I20230821003119 TX Practitioner - Optometry 4688036791 Reassigns benefits to 2 organizations
I20241014004194 DC Practitioner - Optometry 4688036791 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of DC, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
University of Houston System Optometrist CurrentSince Jun 22, 2023 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Apr 18, 2025 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 7, 2023 Accepting new patients
University of Houston CurrentSince Jun 22, 2023 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Apr 18, 2025 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 7, 2023 Accepting new patients

Locations

3418 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 547-0956

1744 L St NW
Washington, DC 20036
Phone (202) 463-6300

1330 Connecticut Ave NW
Washington, DC 20036
Phone (202) 785-5700

650 Massachusetts Ave NW
Ste 140
Washington, DC 20001
Phone (202) 898-1060

635 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 546-2838

650 Massachusetts Ave NW
Washington, DC 20001
Phone (202) 898-1060

233 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 544-9220

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 11

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1740962323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "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": "4401 MARTIN LUTHER KING BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772043069",
            "telephone_number": "713-743-1921",
            "fax_number": "713-743-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9550 Spring Green Blvd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774943758",
            "country_code": "US",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "BRANDON",
        "middle_name": "BAO",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY BOARD",
            "identifier": "10898",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.