MEDICARE: DR. HOA K. TO OD

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	05598T	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	81231Q	OTHER	TX	BLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number	:	1568436475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOA K. TO OD

Provider Business Mailing Address
First Line	:	10515 BELLAIRE BLVD
Second Line	:	SUITE G
City	:	HOUSTON
State	:	TX
Zip	:	77072-5234
Country	:	US
Telephone Number	:	281-564-5588
Fax Number	:	281-564-0521

Provider Business Practice Location Address
First Line	:	10515 BELLAIRE BLVD
Second Line	:	SUITE G
City	:	HOUSTON
State	:	TX
Zip	:	77072-5234
Country	:	US
Telephone Number	:	281-564-5588
Fax Number	:	281-564-0521

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	11/20/2007

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Directions to “ DR. HOA K. TO OD” Practice Location

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