Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073593000 Individual Practitioner Female Practitioner

Dr. Mimi Ngoc Bao Le , OD

Optometrist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mimi Ngoc Bao Le, OD is a registered healthcare professional specializing in Optometrist in Tyler, TX. Practice services are available at 4901 S BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4901 S Broadway Ave

Tyler, TX 757031325

Telephone 9035082498
Fax 9035082500
Associated Practice Facility / Clinic
🏢 Eyeglass World Facility NPI 1508153347

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
40 Specialists

Practicing in Tyler, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 6783T

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
181592001 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 4901 S BROADWAY AVE, TYLER, TX 757031325 (Tel: 9035082498)

📍
Updated Business Mailing Address June 15, 2017

Registered at 830 CARRIAGE DRIVE, TYLER, TX 75703 (Tel: (903) 316-2092)

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as MIMI NGOC BAO LE, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Optometrist (License #6783T in TX)

NPI Profile Active April 08, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2008

Registered at 5050 TROUP HWY, SUITE A, TYLER, TX 75703 (Tel: 9035344800)

📍
Updated Business Mailing Address April 08, 2008

Registered at 5050 TROUP HWY, TYLER, TX 75703 (Tel: 9033162092)

👤
Provider Name / Credentials Updated April 08, 2008

Recorded as NGOCBAO LE, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2008

Optometrist (License #6783T in TX)

🟢
Initial NPI Registration & Enumeration January 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073593000
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2006
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

830 Carriage Drive

Tyler, TX 75703

Phone: 9033162092

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.