Individual provider Active NPI

Kristin Yen Le, O.D.

  • Optometrist
  • Cypress, TX
National Provider Identifier
1982661237
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6445TG Issued in TX
Practice address
13611 Skinner Rd
Suite 155
Cypress, TX 77429-1018
Phone
(281) 304-5060
Fax
(281) 304-5070
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6445TG TX Primary

Addresses

Primary practice location

13611 Skinner Rd
Suite 155
Cypress, TX 77429-1018

Mailing address

16910 Thomas Ridge LN
Cypress, TX 77433-3956
Phone (281) 304-5060

Other identifiers 1

IdentifierTypeStateIssuer
6445TGOtherTXOPTOMETRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6445TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
RX Vision Group, PA Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1982661237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16910 THOMAS RIDGE LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333956",
            "telephone_number": "281-304-5060",
            "fax_number": "281-304-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD",
            "address_2": "SUITE 155",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291018",
            "telephone_number": "281-304-5060",
            "fax_number": "281-304-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "KRISTIN",
        "middle_name": "YEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6445TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "6445TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.