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NPI Code Detail

MEDICARE: DR. LEEANN CHOE O.D.

MEDICARE: DR. LEEANN CHOE 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
1152W00000XOptometrist6795TTX

General Provider Information

NPI Number : 1033329784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEEANN CHOE O.D.
Provider Business Mailing Address
First Line : PO BOX 457
Second Line :
City : BARKER
State : TX
Zip : 77413-0457
Country : US
Telephone Number : 281-644-4471
Fax Number : 281-644-4473
Provider Business Practice Location Address
First Line : 25108 MARKET PLACE DR
Second Line :
City : KATY
State : TX
Zip : 77494-4430
Country : US
Telephone Number : 281-644-4471
Fax Number : 281-644-4473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/25/2016

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