Dr. Annie Le OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. ANNIE LE OD INC

Practice address

31700 Grape St
Lake Elsinore, CA 92532-9785

Phone

(951) 245-4597

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Annie Diem Hang Le, OD

Title

Optometrist

Phone

(619) 565-7102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1831651983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12128 CHANDALAR CIR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917522775",
            "telephone_number": "619-565-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 GRAPE ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925329785",
            "telephone_number": "951-245-4597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 E Ontario Ave",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928816604",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. ANNIE LE OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ANNIE DIEM HANG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "619-565-7102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.