Individual provider Active NPI

Jonathan Le, O.D.

  • Optometrist
  • Edmond, OK
National Provider Identifier
1982089892
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2858 Issued in OK
Practice address
16135 N May Ave Ste a
Edmond, OK 73013-8977
Phone
(405) 751-5638
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2858 OK Primary

Addresses

Primary practice location

16135 N May Ave Ste a
Edmond, OK 73013-8977

Mailing address

16135 N May Ave Ste a
Edmond, OK 73013-8977
Phone (405) 751-5638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20150917001403 OK Practitioner - Optometry 5597072900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyesguys LLCGroup PAC ID 1456518745, 5 clinicians

Practice addresses (Care Compare)

16135 N May Ave
Suite a
Edmond, OK 73013-8977
Phone (405) 751-5638

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Associates, P.L.L.C. Optometrist CurrentSince Jan 1, 2025 Accepting new patients

Locations

4250 NW Cache Rd
Lawton, OK 73505
Phone (580) 248-0061

918 NW 32nd St
Newcastle, OK 73065
Phone (405) 387-4011

2946 NW 32nd St
Ste A
Newcastle, OK 73065
Phone (405) 387-4884

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1982089892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16135 N MAY AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138977",
            "telephone_number": "405-751-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 N MAY AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138977",
            "telephone_number": "405-751-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.