DR. PHONG LE (NPI# 1417050220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417050220 |
| Entity Type | Individual |
| Full Name | DR. PHONG LE |
| Credential | O.D. |
| Practice Address |
253 N Hillside St Wichita KS 67214-4903 |
| Practice Telephone | 3166833078 |
| Practice Fax Number | 3166836636 |
| Mailing Telephone | 3166833078 |
| Mailing Fax Number | 3166836636 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1459 | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | FIRST GUARD HEALTH PLAN | 656590 | 01 |
| KS | BCBS PROVIDER NUMBER | 049668 | 01 |
| KS | PRERFERED HEALTH SYSTEMS | 4492 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639451313 | Phong Thanh Le | Pharmacist | 25 Alyssa Dr, Newtown, PA 18940-1341 | 2011-09-19 |
| 1508220153 | Phong Le | Student in an Organized Health Care Education/Training Program | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2016-04-11 |
| 1841604956 | Phong Le | Otolaryngology | 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 | 2014-06-17 |
| 1851713358 | Phong Truong Le | Physician Assistant | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2014-01-17 |
| 1265760979 | Phong Quoc Le | Pharmacist | 2050 Long Prairie Rd, Flower Mound, TX 75022 | 2009-11-19 |
| 1316191166 | Phong Le | Podiatrist | 75 Scripps Dr, Sacramento, CA 95825-6320 | 2008-11-06 |
| 1568673812 | Phong Quoc Le | Anesthesiology | 1197 Airport Rd, Milford, DE 19963 | 2007-05-25 |
| 1568434355 | Phong Hoang Le | Anesthesiology | 405 W Greenlawn Ave, #106, Lansing, MI 48910-2898 | 2006-02-06 |
| Street Address |
253 N HILLSIDE ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1861040909 | Larisa Rivera | Optometrist | 949 S Glendale St, Wichita, KS 67218-3210 | 2019-09-02 |
| 1427612084 | Kansas Physicians Eyecare Group, P.C. | Optometrist | 438 S Rock Rd, Wichita, KS 67207-1150 | 2019-04-29 |
| 1396213799 | Wichita Optometry, P.a. | Optometrist | 2330 N Amidon Ave, Wichita, KS 67204-5630 | 2018-11-05 |
| 1710463500 | Macey Pruett | Optometrist | 982 N Tyler Rd Ste A, Wichita, KS 67212-3271 | 2018-07-14 |
| 1295116333 | Jedediah Reece | Optometrist | 7570 W 21st St N Ste 1002, Wichita, KS 67205-1763 | 2015-06-15 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1427498047 | Vanlang Q Huynh | Optometrist | 7700 E Kellogg Dr Ste 703a, Wichita, KS 67207-1787 | 2013-06-27 |
| 1063790145 | Megan Nichole Baldwin | Optometrist | 2146 N Collective Ln, 110, Wichita, KS 67206-3573 | 2011-07-24 |
| 1649578402 | Lentz Enterprises, LLC | Optometrist | 670 E 47th St S, Wichita, KS 67216-1769 | 2011-03-03 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.