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General NPI Number Information
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NPI Number | 1275646366
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Entity Type | Individual
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Provider Name | HIEU LE OD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 12/05/2016
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Provider Practice Location Address
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Address Line | 831 US HIGHWAY 59 S STE A
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City | CLEVELAND
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State | TX
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Zip | 77327-6058
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Country | US
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Telephone | 832-912-1600
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Fax | 832-912-1606
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Provider Business Mailing Address
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Address Line | 831 US HIGHWAY 59 S STE A
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City | CLEVELAND
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State | TX
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Zip | 77327-6058
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Country | US
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Telephone | 281-432-7200
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Fax | 281-432-2237
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5998TG
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License Number State | TX
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