Apple Vision, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6783T Issued in TX

Legal business name

APPLE VISION, P.A.

Practice address

5050 Troup Hwy
Suite a
Tyler, TX 75703

Phone

(903) 316-2092

Fax

(903) 534-9808

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Mimi Ngoc Le, O.D.

Title

President

Phone

(903) 316-2092

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dat Ly, O.D.

  • Optometrist
  • Tyler, TX
  • NPI 1043276421
  Medicare reassignment

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1790954261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 TROUP HWY",
            "address_2": "SUITE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-316-2092",
            "fax_number": "903-534-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 TROUP HWY",
            "address_2": "SUITE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-316-2092",
            "fax_number": "903-534-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE VISION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MIMI NGOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-316-2092",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6783T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Enrique Antique, APRN
• Jenni-Maari Antunez, PT
• Jamie R Antwine
• Aph Hospitalists, P.a.
• Rachel Apkom
• Bruce Jeffrey Applebaum, M.D.
• Karen C Appleberry, FNP
• Matthew Applegate, ACNP
• Appletree Pediatrics, P.a.
• Apria Healthcare LLC

• Optometrist in Tyler, TX
• Providers in Tyler, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.