Active NPI
Lance Le, O.D.
- Optometrist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6124T
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150611501 | Medicaid | TX |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6124T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lance Le Optometry Services, P.C. | Optometrist | Current | 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.
-
- Optometrist
- Dallas, TX
- NPI 1346422664
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.