Individual provider Active NPI

Michelle My Le, O.D.

  • Optometrist
  • Alexandria, VA
National Provider Identifier
1902356157
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002529 Issued in VA
Practice address
6475 Old Beulah St
Alexandria, VA 22315-3723
Phone
(703) 822-0570
Fax
(703) 548-0133
NPI assigned
Oct 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002529 VA Primary

Addresses

Primary practice location

6475 Old Beulah St
Alexandria, VA 22315-3723

Mailing address

1502 Mount Vernon Ave
Alexandria, VA 22301-1718
Phone (703) 548-0122

Other practice location 1

1502 Mount Vernon Ave
Alexandria, VA 22301-1718
Phone (703) 548-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20200701002268 DC Practitioner - Optometry 8022431410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye2Eye Optometry Corner PCGroup PAC ID 0446285563, 2 clinicians

Practice addresses (Care Compare)

1502 Mount Vernon Ave
Alexandria, VA 22301-1718
Phone (703) 548-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002529VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye2Eye Optometry Corner, PC Optometrist CurrentSince Jul 6, 2020 Accepting new patients
Visualeyes Optometrists PLLC Optometrist Past Accepting new patients

Locations

6475 Old Beulah St
Alexandria, VA 22315
Phone (703) 822-0570

1502 Mount Vernon Ave
Alexandria, VA 22301
Phone (703) 548-0122

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": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1902356157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 MOUNT VERNON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011718",
            "telephone_number": "703-548-0122",
            "fax_number": "703-548-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 OLD BEULAH ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223153723",
            "telephone_number": "703-822-0570",
            "fax_number": "703-548-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223011718",
            "country_code": "US",
            "telephone_number": "703-548-0122",
            "fax_number": "703-548-0133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "MICHELLE",
        "middle_name": "MY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.