Individual provider Active NPI

Thuy Le, O.D.

  • Optometrist
  • Paxton, MA
National Provider Identifier
1902827488
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4331 Issued in MA
Practice address
29 Lancelot Dr
Paxton, MA 01612-1261
Phone
(508) 363-3937
Fax
(508) 363-3938
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 4331 MA Primary

Addresses

Primary practice location

29 Lancelot Dr
Paxton, MA 01612-1261

Mailing address

29 Lancelot Dr
Paxton, MA 01612-1261
Phone (508) 363-3937

Other identifiers 1

IdentifierTypeStateIssuer
0336301MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040310000404 MA Practitioner - Optometry 9234027285 Practice locations: Auburn, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

385 Southbridge St
Auburn, MA 01501-2498
Phone (508) 729-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4331MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1902827488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LANCELOT DR",
            "city": "PAXTON",
            "state": "MA",
            "postal_code": "016121261",
            "telephone_number": "508-363-3937",
            "fax_number": "508-363-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LANCELOT DR",
            "city": "PAXTON",
            "state": "MA",
            "postal_code": "016121261",
            "telephone_number": "508-363-3937",
            "fax_number": "508-363-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THUY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0336301",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paxton, MA

Sources for this page

Verify at the official NPI Registry.