MEDICARE: DR. ANH D DOAN 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	4635TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	81021Q	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1205915535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANH D DOAN O.D.

Provider Business Mailing Address
First Line	:	4725 HIGHWAY 6
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3988
Country	:	US
Telephone Number	:	281-261-2647
Fax Number	:	281-499-8456

Provider Business Practice Location Address
First Line	:	4725 HIGHWAY 6
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3988
Country	:	US
Telephone Number	:	281-261-2647
Fax Number	:	281-499-8456

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

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	01/24/2014

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Directions to “ DR. ANH D DOAN O.D.” Practice Location

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