Vision Plaza PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

6555TG Issued in TX

Legal business name

VISION PLAZA PA

Practice address

116 E Ellison St Ste C
Burleson, TX 76028-4286

Phone

(817) 295-9696

Fax

(817) 295-9313

NPI assigned

Aug 31, 2006

Last updated

Sep 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andre Le, ODNPI 1073566022

Title

Owner

Phone

(817) 295-9696

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Andre T Lee OD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vision Plaza

  • Optometrist
  • Grand Prairie, TX
  • NPI 1326355629
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andre T Le, O.D.

  • Optometrist
  • Burleson, TX
  • NPI 1073566022
  Medicare reassignment Care Compare group NPD Authorized official
• Diana Doan Dinh, O.D.

  • Optometrist
  • Burleson, TX
  • NPI 1043575319
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1912019076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E ELLISON ST STE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284286",
            "telephone_number": "214-998-0934",
            "fax_number": "817-295-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E ELLISON ST STE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284286",
            "telephone_number": "817-295-9696",
            "fax_number": "817-295-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PLAZA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-295-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6555TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177115601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah S Vert, DO
• Vignette Counseling, PLLC
• Nancy Villanueva Cabansag, D.D.S.
• Jessica Rashell Virgil, LMFT-A
• Vision Care Associates of Burleson PLLC (Vision Care Associates of Burleson)
• Visions Contractors Incorporated (Visions Transportation Incorporated)
• Visionworks, Inc. (Visionworks)
• Jessica Minhhoang Vo, PHARMACIST
• Von L. Evans Jr., M.D., P.a. (Tarrant County Bone and Joint)
• Morgan Sue Vorndran

• Optometrist in Burleson, TX
• Providers in Burleson, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.