Tram Quynhphan Le, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14935 Issued in CA

Practice address

801 Tioga Ave
Sand City, CA 93955-3050

Phone

(831) 899-4185

NPI assigned

Jun 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, OR2 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

Specialty

Optometry

Education

Southern California College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tram Le OD IncGroup PAC ID 9830569318, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tram Le OD, Inc

  • Optometrist
  • Sand City, CA
  • NPI 1932787520
  Medicare reassignment Care Compare group NPD Authorized official
• West Hills Vision Care, LLC

  • Optometrist
  • Portland, OR
  • NPI 1922397975
  Medicare reassignment NPD
• Han and Rodriguez-Bayes Optometry General Partnership

  • Optometrist
  • El Dorado Hills, CA
  • NPI 1316728207
  NPD (past)
• Willow Creek Eye Care Inc.

  • Corneal and Contact Management Optometrist
  • Portland, OR
  • NPI 1598000903
  NPD (past)

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1780098962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TIOGA AVE",
            "city": "SAND CITY",
            "state": "CA",
            "postal_code": "939553050",
            "telephone_number": "831-899-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TIOGA AVE",
            "city": "SAND CITY",
            "state": "CA",
            "postal_code": "939553050",
            "telephone_number": "831-899-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "TRAM",
        "middle_name": "QUYNHPHAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Apple DO
• Garfield Beach CVS LLC
• Anita Gor, OD
• Charles Peter Grandelli
• Won Koo Lee
• Lucky Stores II LLC
• Luxottica of America Inc.
• Marina Mekhael
• Nor-Cal Long Term Care Pharmacy Inc

• Optometrist in Sand City, CA
• Providers in Sand City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.