Individual provider Active NPI

Thi Le

  • Student in an Organized Health Care Education/Training Program
  • Vancouver, WA
National Provider Identifier
1831936400
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
10802 NE 105TH St
Vancouver, WA 98662-3406
Phone
(866) 494-2111
NPI assigned
Jul 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

10802 NE 105TH St
Vancouver, WA 98662-3406

Mailing address

10802 NE 105TH St
Vancouver, WA 98662-3406
Phone (866) 494-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250725000526 TX Practitioner - Optometry 1153838164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Family Vision PLLCGroup PAC ID 4183850480, 3 clinicians

Practice addresses (Care Compare)

17520 Southwest Fwy
Sugar Land, TX 77479-2359
Phone (281) 607-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Experts PLLC CurrentSince Jul 14, 2025 Accepting new patients
Elite Family Vision PLLC CurrentSince Jul 14, 2025 Accepting new patients

Locations

7770 W Grand Pkwy S
Ste B1
Richmond, TX 77406
Phone (832) 685-2020

17520 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 566-6730

Organizations & group practices 2

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": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1831936400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 NE 105TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623406",
            "telephone_number": "866-494-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10802 NE 105TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623406",
            "telephone_number": "866-494-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.