MEDICARE: DR. ANNE HUYEN LE 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	4111T	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568580637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE HUYEN LE O.D.

Provider Business Mailing Address
First Line	:	10080 BELLAIRE BLVD STE 105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5249
Country	:	US
Telephone Number	:	713-774-3211
Fax Number	:	713-774-2130

Provider Business Practice Location Address
First Line	:	10080 BELLAIRE BLVD STE 105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5255
Country	:	US
Telephone Number	:	713-774-3211
Fax Number	:	713-774-2130

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	09/17/2021

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