Active NPI
Anhdao Thi Le, O.D.
- Optometrist
- Hayward, CA
National Provider Identifier
1952437154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12500T
- Practice address
- 299 Southland Mall
Hayward, CA 94545-2129 - Phone
- (510) 782-8911
- NPI assigned
- Feb 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12500T | CA | Primary |
Addresses
Primary practice location
299 Southland Mall
Hayward, CA 94545-2129
Mailing address
5575 W Las Positas Blvd
Ste 240
Pleasanton, CA 94588-5803
Phone (925) 426-5383
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12500T | CA | MD | Optometrist |
| 12500 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gagnon Vision Medical Group Inc | Optometrist | Current | Accepting new patients |
| Gagnon Vision Medical Group Inc | Optometrist | Current | Accepting new patients |
Locations
28 Fenton St
Livermore, CA 94550
Phone (925) 449-4000
5575 W Las Positas Blvd
Ste 240
Pleasanton, CA 94588
Phone (925) 460-5000
Interoperability endpoints
- ale@vecma.intellechartdirect.net
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": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1952437154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 W LAS POSITAS BLVD",
"address_2": "STE 240",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885803",
"telephone_number": "925-426-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 SOUTHLAND MALL",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452129",
"telephone_number": "510-782-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "ANHDAO",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-24",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12500T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.