Individual provider Active NPI

Nicholas T Le, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1790934529
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4337 Issued in FL
Practice address
4750 Millenia Plaza Way
Orlando, FL 32839-2434
Phone
(407) 541-0021
NPI assigned
Sep 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4337 FL Primary

Addresses

Primary practice location

4750 Millenia Plaza Way
Orlando, FL 32839-2434

Mailing address

4250 Alafaya TRL
Suite 212-311
Oviedo, FL 32765-9412
Phone (904) 613-7503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081208000321 FL Practitioner - Optometry 7517028681 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4337FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quachle LLC Optometrist CurrentSince Apr 12, 2025 Accepting new patients
Thuy Tran Quach O D P a Optometrist CurrentSince Jun 1, 2025 Accepting new patients

Locations

7828 Winter Garden Vineland Rd
Ste 128
Windermere, FL 34786
Phone (407) 614-8796

15996 New Independence Pkwy
Ste 100
Winter Garden, FL 34787
Phone (407) 877-0008

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1790934529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 ALAFAYA TRL",
            "address_2": "SUITE 212-311",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659412",
            "telephone_number": "904-613-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 MILLENIA PLAZA WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328392434",
            "telephone_number": "407-541-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "NICHOLAS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.