MEDICARE: DR. PETER HOANG 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	152WC0802X	Corneal and Contact Management Optometrist	7255T	TX
2	152W00000X	Optometrist	7255T	TX

General Provider Information

NPI Number	:	1184889297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER HOANG O.D.

Provider Business Mailing Address
First Line	:	3345 PLAZA 10 DR STE B
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77707-2553
Country	:	US
Telephone Number	:	409-833-0444
Fax Number	:	409-835-0278

Provider Business Practice Location Address
First Line	:	3345 PLAZA 10 DR STE B
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77707-2553
Country	:	US
Telephone Number	:	409-833-0444
Fax Number	:	409-835-0278

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

Provider Enumeration Date	:	07/29/2008
Last Update Date	:	04/03/2019

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Directions to “ DR. PETER HOANG O.D.” Practice Location

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