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DR. PHONG LE O.D.
NPI 1417050220
Optometrist in Wichita, KS

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
253 N HILLSIDE ST, WICHITA, KS 67214(316) 683-3078(316) 683-6636 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Phong Le O.d. NPPES

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

DR. PHONG LE O.D. (NPI 1417050220) is an individual optometrist in Wichita, Kansas, licensed in Kansas (1459) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Kansas Medical Center Llc, and is a graduate of New England College Of Optometry (1994).

NPPES Registry Identity

NPI1417050220
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PHONG LECredential: O.D.
Location Address253 N HILLSIDE STWichita, KS 67214-4903
Mailing Address253 N Hillside StWichita, KS 67214-4903 · (316) 683-3078 · Fax (316) 683-6636
Phone(316) 683-3078
Fax(316) 683-6636
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1994
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1417050220 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 KS · 1459
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.
253 N HILLSIDE ST, Wichita, KS 67214
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Other Identifiers 5

Medicare ID-Type Unspecified049668KS · Provider Number
Other049668KS · Bcbs Provider Number
Other4492KS · Prerfered Health Systems
Other656590KS · First Guard Health Plan
Medicare UPINU58647KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Phong Le 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 ID547202673
PECOS Enrollment IDI20050527000606
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
222 services198 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Kansas Medical Center LLC

Acute Care Hospitals · Andover, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170197
Location1124 West 21st StreetAndover, KS 67002 · Butler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

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 Phong Le's NPI number?

The NPI number for Phong Le is 1417050220. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Phong Le located?

Phong Le practices at 253 N Hillside St, Wichita, KS 67214. The listed phone number is (316) 683-3078.

What is Phong Le's specialty?

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

Is Phong Le enrolled in Medicare?

Yes. 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.

What insurance does Phong Le accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 8 other insurers list 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 Phong Le affiliated with any hospitals?

According to CMS data, Phong Le is affiliated with Kansas Medical Center LLC.

When was this NPI record last updated?

The NPPES record for Phong Le was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.