DR. MIMI NGOC BAO LE OD
NPI 1073593000
Optometrist in Tyler, TX

Q: What is Mimi Ngoc Bao Le's NPI number?

The NPI number for Mimi Ngoc Bao Le is 1073593000. It was assigned to this individual provider in the NPPES registry on January 17, 2006. The provider is also known as Dr. Mimi Ngocbao Le Od.

Q: What is Mimi Ngoc Bao Le's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mimi Ngoc Bao Le was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2006

4901 S BROADWAY AVE, TYLER, TX 75703(903) 508-2498(903) 508-2500 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 15, 2017 (2 updates tracked since 2017).

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About Dr. Mimi Ngoc Bao Le Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIMI NGOC BAO LE OD (NPI 1073593000) is an individual optometrist in Tyler, Texas, licensed in Texas (6783T) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1073593000

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. MIMI NGOC BAO LECredential: OD

Location Address4901 S BROADWAY AVETyler, TX 75703-1325

Mailing Address830 Carriage DriveTyler, TX 75703 · (903) 316-2092 · Fax (903) 508-2500

Phone(903) 508-2498

Fax(903) 508-2500

Sole ProprietorYes

Enumeration DateJanuary 17, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1073593000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 6783T

Definition

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.

4901 S BROADWAY AVE, Tyler, TX 75703

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Other Names 1

Other Name (5)Dr. Mimi Ngocbao Le Od

Other Identifiers 1

Medicaid181592001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYEGLASS WORLD

Technician/Technologist (Optician)

4901 S BROADWAY AVE
TYLER, TX 75703

Smith County (903) 508-2489

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mimi Ngoc Bao Le's NPI number?

The NPI number for Mimi Ngoc Bao Le is 1073593000. It was assigned to this individual provider in the NPPES registry on January 17, 2006. The provider is also known as Dr. Mimi Ngocbao Le Od.

Where is Mimi Ngoc Bao Le located?

Mimi Ngoc Bao Le practices at 4901 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 508-2498.

What is Mimi Ngoc Bao Le's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Mimi Ngoc Bao Le accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mimi Ngoc Bao Le as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mimi Ngoc Bao Le was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.