IndividualActive
Mimi Ngoc Bao Le, OD
NPI 1073593000 · Optometrist · Tyler, TX
Mimi Ngoc Bao Le, OD is a Optometrist provider in Tyler, TX (NPI 1073593000).
Provider details
- NPI number
- 1073593000
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6783T (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4901 S Broadway Ave
Tyler, TX 75703-1325
Phone: (903) 508-2498
Fax: (903) 508-2500
Street-level locationGet directions
Mailing address
830 Carriage Drive
Tyler, TX 75703
Registry dates
- Enumerated
- 2006-01-17
- Last updated
- 2022-07-21
Frequently asked questions
- What is Mimi Ngoc Bao Le's NPI number?
- Mimi Ngoc Bao Le's National Provider Identifier (NPI) is 1073593000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mimi Ngoc Bao Le's specialty?
- Mimi Ngoc Bao Le is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Mimi Ngoc Bao Le located?
- Mimi Ngoc Bao Le's practice location on file with NPPES is 4901 S Broadway Ave, Tyler, TX 75703-1325.
- What is Mimi Ngoc Bao Le's phone number?
- The practice phone number listed in the NPPES registry for Mimi Ngoc Bao Le is (903) 508-2498.
- Is Mimi Ngoc Bao Le's NPI active?
- Yes — Mimi Ngoc Bao Le's NPI (1073593000) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.