Individual provider Active NPI

Tuong-VI Hoang Le, DOCTOR OF OPTOMETRY

  • Optometrist
  • Oakland, CA
National Provider Identifier
1902895451
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12323T Issued in CA
Practice address
600 International Blvd
Suite 101
Oakland, CA 94606-2912
Phone
(510) 832-0908
Fax
(510) 832-0907
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12323T CA Primary

Addresses

Primary practice location

600 International Blvd
Suite 101
Oakland, CA 94606-2912

Mailing address

600 International Blvd
Suite 101
Oakland, CA 94606-2912
Phone (510) 832-0908

Other identifiers 1

IdentifierTypeStateIssuer
SD0123230MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040824000219 CA Practitioner - Optometry 7214901461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 International Blvd
Suite 101
Oakland, CA 94606-2993
Phone (510) 832-0908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12323TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
International Optometry Inc Optometrist CurrentSince Aug 1, 2004 Accepting new patients

Locations

600 International Blvd
Ste 101
Oakland, CA 94606
Phone (510) 832-0908

600 International Blvd
Oakland, CA 94606
Phone (510) 832-0908

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1902895451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 INTERNATIONAL BLVD",
            "address_2": "SUITE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062912",
            "telephone_number": "510-832-0908",
            "fax_number": "510-832-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 INTERNATIONAL BLVD",
            "address_2": "SUITE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062912",
            "telephone_number": "510-832-0908",
            "fax_number": "510-832-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "TUONG-VI",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12323T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0123230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.