PHUONG LE AI DUONG OPTOMETRIST (O.D.)
NPI 1154435048
Optometrist - Low Vision Rehabilitation in San Jose, CA

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
1811 HILLSDALE AVE, SAN JOSE, CA 95124(408) 269-1267(408) 269-1265 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Feb 11, 2022, May 6, 2019 and 2 more (5 updates tracked since 2017).

About Phuong Le Ai Duong Optometrist (o.d.) NPPES

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

PHUONG LE AI DUONG OPTOMETRIST (O.D.) (NPI 1154435048) is an individual low vision rehabilitation provider in San Jose, California, licensed in California (CA 12716 T) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Southern California College Of Optometry (2004).

NPPES Registry Identity

NPI1154435048
Entity TypeIndividualFemale
Primary Taxonomy152WL0500X
Provider Legal NamePHUONG LE AI DUONGCredential: OPTOMETRIST (O.D.)
Location Address1811 HILLSDALE AVESan Jose, CA 95124-3027
Mailing Address630 Blossom Hill Rd Ste 20San Jose, CA 95123-3056 · (408) 300-0717 · Fax (888) 604-2519
Fax(408) 269-1265
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2004
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPI 1154435048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
License Licensed in CA · CA 12716 T
Definition

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

1811 HILLSDALE AVE, San Jose, CA 95124

Secondary Practice Locations 2

Location 17150 Camino ArroyoGilroy, CA 95020-7347 · Phone (408) 848-1865 · Fax (408) 848-5666
Location 2630 Blossom Hill Rd Ste 20San Jose, CA 95123-3056 · Phone (408) 300-0717 · Fax (888) 604-2519

Other Identifiers 1

Other12716CA · License Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Phuong Le Ai Duong Optometrist (o.d.) is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739597758
PECOS Enrollment IDI20210412002246
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Pharmacist
1811 HILLSDALE AVE
SAN JOSE, CA 95124
Pharmacist
1811 HILLSDALE AVE
SAN JOSE, CA 95124
Pharmacy
1811 HILLSDALE AVE
SAN JOSE, CA 95124
Eyewear Supplier
1811 HILLSDALE AVE
SAN JOSE, CA 95124
Optometrist
1811 HILLSDALE AVE
SAN JOSE, CA 95124
Pharmacist
1811 HILLSDALE AVE
SAN JOSE, CA 95124
Optometrist
1811 HILLSDALE AVE
SAN JOSE, CA 95124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154435048, enumerated as an "individual" on August 18, 2006.

The provider is located at 1811 HILLSDALE AVE SAN JOSE, CA 95124 and the phone number is (408) 269-1267.

Optometrist with taxonomy code 152WL0500X and a focus in Low Vision Rehabilitation.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.