MEDICARE: MELANIE LEUNG O.D.

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	8219-T	TX

General Provider Information

NPI Number	:	1811339740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE LEUNG O.D.

Provider Business Mailing Address
First Line	:	9701 N SAM HOUSTON PKWY E STE 100
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-4636
Country	:	US
Telephone Number	:	281-360-2021
Fax Number	:

Provider Business Practice Location Address
First Line	:	9701 N SAM HOUSTON PKWY E STE 100
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-4636
Country	:	US
Telephone Number	:	281-360-2021
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2013
Last Update Date	:	08/09/2015

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