MEDICARE: JING HE OD, PHD

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	10924	TX

General Provider Information

NPI Number	:	1629756879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JING HE OD, PHD

Provider Business Mailing Address
First Line	:	8181 FANNIN ST APT 1022
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2919
Country	:	US
Telephone Number	:	740-818-9612
Fax Number	:

Provider Business Practice Location Address
First Line	:	1329 W DAVIS ST
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2309
Country	:	US
Telephone Number	:	936-206-7366
Fax Number	:

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

Provider Enumeration Date	:	07/07/2023
Last Update Date	:	07/07/2023

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Directions to “ JING HE OD, PHD” Practice Location

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