Individual provider Active NPI

Lance Le, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1861477267
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6124T Issued in TX
Practice address
14999 Preston Rd
Suite 220 D
Dallas, TX 75254-9116
Phone
(972) 663-3937
Fax
(972) 663-3938
NPI assigned
Dec 8, 2005
Last updated
Feb 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6124T TX Primary

Addresses

Primary practice location

14999 Preston Rd
Suite 220 D
Dallas, TX 75254-9116

Mailing address

2232 Luckenbach LN
Irving, TX 75063
Phone (214) 228-4108

Other identifiers 1

IdentifierTypeStateIssuer
150611501MedicaidTX

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
I20160330000015 TX Practitioner - Optometry 7416934187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14891 Preston Rd
Suite 160
Dallas, TX 75254-7855
Phone (972) 663-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6124TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lance Le Optometry Services, P.C. Optometrist CurrentSince Jul 31, 2001 Accepting new patients

Locations

14891 Preston Rd
Ste 160
Dallas, TX 75254
Phone (972) 663-3937

14999 Preston Rd
Ste 220D
Dallas, TX 75254
Phone (972) 663-3937

Organizations & group practices 1

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1861477267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 LUCKENBACH LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "214-228-4108",
            "fax_number": "972-663-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 PRESTON RD",
            "address_2": "SUITE 220 D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549116",
            "telephone_number": "972-663-3937",
            "fax_number": "972-663-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "LANCE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6124T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150611501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.