Individual provider Active NPI

Huong Le, OD

  • Optometrist
  • Newport Beach, CA
National Provider Identifier
1750894630
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33843TLG Issued in CA
Practice address
1501 Superior Ave Ste 315
Newport Beach, CA 92663-3641
Phone
(949) 520-7970
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 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 33843TLG CA Primary

Addresses

Primary practice location

1501 Superior Ave Ste 315
Newport Beach, CA 92663-3641

Mailing address

1501 Superior Ave Ste 315
Newport Beach, CA 92663-3641
Phone (714) 808-2592

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
I20181018002373 CA Practitioner - Optometry 8921351024 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33843CAMDOrthodontics and Dentofacial Orthopedic Dentist
33843TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C CurrentSince Sep 1, 2018 Accepting new patients
Samir a Shah MD Professional Corporation Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Beaver Medical Group P C CurrentSince Sep 1, 2018 Accepting new patients

Locations

18582 Main St
Huntington Beach, CA 92648
Phone (714) 843-5700

3500 Barranca Pkwy
Ste 130
Irvine, CA 92606
Phone (949) 522-6266

2650 Elm Ave
Ste 108
Long Beach, CA 90806
Phone (310) 427-5409

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 795-9747

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: huong.le.p1@direct.atlantiseyecare.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1750894630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 315",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633641",
            "telephone_number": "714-808-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 315",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633641",
            "telephone_number": "949-520-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "HUONG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33843TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.