Individual provider Active NPI

Ha Tien Le, O.D

  • Optometrist
  • Dorchester, MA
National Provider Identifier
1912253386
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4927 Issued in MA
Practice address
1350 Dorchester Ave
Dorchester, MA 02122-2912
Phone
(617) 265-0728
Fax
(617) 265-0931
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4927 MA Primary

Addresses

Primary practice location

1350 Dorchester Ave
Dorchester, MA 02122-2912

Mailing address

1350 Dorchester Ave
Dorchester, MA 02122-2912
Phone (617) 265-0728

Other identifiers 1

IdentifierTypeStateIssuer
ML0889470MOtherMACONTROLLED SUBSTANCE REGISTRATION NUMBER

Other names 1

  • Dr. Ha Tien Le Professional name

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
I20141002002072 MA Practitioner - Optometry 6406076025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunny Eyecare PLLCGroup PAC ID 0547630311, 2 clinicians

Practice addresses (Care Compare)

1461 Dorchester Ave
Dorchester, MA 02122-1338
Phone (617) 265-0728

380 Washington St
Quincy, MA 02169-5618
Phone (617) 481-8968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Eyecare PLLC Optometrist CurrentSince Dec 1, 2022 Accepting new patients

Locations

380 Washington St
Quincy, MA 02169
Phone (617) 481-8968

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": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1912253386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222912",
            "telephone_number": "617-265-0728",
            "fax_number": "617-265-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222912",
            "telephone_number": "617-265-0728",
            "fax_number": "617-265-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "HA TIEN",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION NUMBER",
            "identifier": "ML0889470M",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HA TIEN",
            "last_name": "LE",
            "prefix": "DR.",
            "credential": "O.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dorchester, MA

Sources for this page

Verify at the official NPI Registry.