NAM-PHONG LE OD
NPI 1194386961
Optometrist in San Antonio, TX

Q: What is Nam-phong Le's NPI number?

The NPI number for Nam-phong Le is 1194386961. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Q: What is Nam-phong 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 Nam-phong Le was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 24, 2019PECOS EnrolledAccepts Medicare Assignment

10722 POTRANCO RD STE 107, SAN ANTONIO, TX 78251(210) 680-2020 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nam-phong Le Od NPPES

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

NAM-PHONG LE OD (NPI 1194386961) is an individual optometrist in San Antonio, Texas, licensed in Texas (9701) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with University Health System, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1194386961

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameNAM-PHONG LECredential: OD

Location Address10722 POTRANCO RD STE 107San Antonio, TX 78251-3315

Mailing Address10722 Potranco Rd Ste 107San Antonio, TX 78251-3315 · (832) 483-5947

Phone(210) 680-2020

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 24, 2019

Last NPPES UpdateFebruary 2, 2021

NPPES CertifiedFebruary 2, 2021

✔ NPI 1194386961 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 · 9701

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.

10722 POTRANCO RD STE 107, San Antonio, TX 78251

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Secondary Practice Location 1

Location 110650 Culebra Rd Ste 132San Antonio, TX 78251-4950 · Phone (210) 523-2020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nam-phong Le Od 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 ID9830591106

PECOS Enrollment IDI20210708002402

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.

Medicare Billing Reassignments

Medicare enrollment records show Nam-phong Le reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uthscsa Dental School

9.2 mi

Oral and Maxillofacial Surgery

7703 FLOYD CURL DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: University Of Texas Health Science Center At San Antonio
2,397 clinicians in this Medicare group

NPI 1750403887 (210) 567-3274

Aeg Texas Professional PLLC

50 mi

Optometrist

205B W WATER ST
Kerrville, TX 78028

Reassigned Medicare billing, Texas enrollment
404 clinicians in this Medicare group

NPI 1457905937 (830) 896-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

151 services143 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

122 services110 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

95 services95 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

68 services59 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

32 services31 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450213

Location4502 Medical DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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

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

AEG TEXAS PROFESSIONAL PLLC

Optometrist

10722 POTRANCO RD STE 107
SAN ANTONIO, TX 78251

Bexar County (210) 680-2020

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 Nam-phong Le's NPI number?

The NPI number for Nam-phong Le is 1194386961. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Nam-phong Le located?

Nam-phong Le practices at 10722 Potranco Rd Ste 107, San Antonio, TX 78251. The listed phone number is (210) 680-2020.

What is Nam-phong Le's specialty?

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

Is Nam-phong Le enrolled in Medicare?

Yes. Nam-phong Le is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nam-phong Le's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nam-phong Le reassigns Medicare benefits to 2 organizations: Uthscsa Dental School (San Antonio, TX) and Aeg Texas Professional PLLC (Kerrville, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nam-phong Le's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nam-phong Le accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Nam-phong 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.

Is Nam-phong Le affiliated with any hospitals?

According to CMS data, Nam-phong Le is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Nam-phong Le was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.