Individual provider Active NPI

Holly Le, OD

  • Optometrist
  • Oak Lawn, IL
National Provider Identifier
1871018036
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011128 Issued in IL
Practice address
6209 W 95TH St
Oak Lawn, IL 60453-2701
Phone
(708) 423-2500
Fax
(708) 423-2845
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011128 IL Primary

Addresses

Primary practice location

6209 W 95TH St
Oak Lawn, IL 60453-2701

Mailing address

6209 W 95TH St
Oak Lawn, IL 60453-2701
Phone (708) 423-2500

Other practice location 1

28201 Diehl Rd
Warrenville, IL 60555-3934
Phone (630) 836-8830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170915002453 IL Practitioner - Optometry 3173897006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Vision Care PCGroup PAC ID 1052314259, 3 clinicians

Practice addresses (Care Compare)

6209 W 95TH St
Oak Lawn, IL 60453-2701
Phone (708) 423-2500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011128ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Vision Care PC Optometrist CurrentSince Jan 17, 2025 Accepting new patients

Locations

6209 W 95th St
Oak Lawn, IL 60453
Phone (708) 423-2500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1871018036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532701",
            "telephone_number": "708-423-2500",
            "fax_number": "708-423-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532701",
            "telephone_number": "708-423-2500",
            "fax_number": "708-423-2845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28201 Diehl Rd",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605553934",
            "country_code": "US",
            "telephone_number": "630-836-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.