MEDICARE: IDEAL EYECARE, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	5911TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902923741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDEAL EYECARE, P.A.

Provider Business Mailing Address
First Line	:	7216 GLENVIEW DR
Second Line	:
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76180-8612
Country	:	US
Telephone Number	:	817-238-7171
Fax Number	:

Provider Business Practice Location Address
First Line	:	6360 LAKE WORTH BLVD
Second Line	:
City	:	LAKE WORTH
State	:	TX
Zip	:	76135-3604
Country	:	US
Telephone Number	:	817-238-7171
Fax Number	:	817-238-7172

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HOAN LE
Credential	:	O.D.
Telephone Number	:	817-238-7171

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	10/22/2025

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Directions to “IDEAL EYECARE, P.A. ” Practice Location

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