Individual provider Active NPI

Anita D Le, O.D.

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1982625679
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2393 Issued in OK
Practice address
14524 Bogert Parkway
Oklahoma City, OK 73134
Phone
(405) 848-8845
Fax
(405) 848-8144
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6444T TX
Optometrist 152W00000X 2393 OK Primary

Addresses

Primary practice location

14524 Bogert Parkway
Oklahoma City, OK 73134

Mailing address

14524 Bogert Parkway
Oklahoma City, OK 73134-2629
Phone (405) 848-8845

Other practice location 1

14524 Bogert Pkwy
Oklahoma City, OK 73134-2629
Phone (405) 848-8845

Other identifiers 1

IdentifierTypeStateIssuer
200741310AMedicaidOK

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
I20100923000670 OK Practitioner - Optometry 0648396010 Reassigns benefits to 3 organizations

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)

14524 Bogert Pkwy
Oklahoma City, OK 73134-2629
Phone (405) 848-8845

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2393OKMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Associates, P.L.L.C. Optometrist CurrentSince Oct 1, 2020 Accepting new patients
Precision Vision of Edmond, PLLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Scott C. Sigler MD PC PastSince Apr 1, 2024 Accepting new patients

Locations

200 W Covell Rd
Edmond, OK 73003
Phone (405) 341-2062

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

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

Organizations & group practices 4

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1982625679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14524 BOGERT PARKWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342629",
            "telephone_number": "405-848-8845",
            "fax_number": "405-848-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14524 BOGERT PARKWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73134",
            "telephone_number": "405-848-8845",
            "fax_number": "405-848-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14524 Bogert Pkwy",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731342629",
            "country_code": "US",
            "telephone_number": "405-848-8845",
            "fax_number": "405-848-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "ANITA",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6444T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200741310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.