MEDICARE: LINH TRAN LE OD NO 2 PA

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	6447TG	TX

General Provider Information

NPI Number	:	1790007052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINH TRAN LE OD NO 2 PA

Provider Business Mailing Address
First Line	:	146 WHITE CEDAR ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-1419
Country	:	US
Telephone Number	:	832-398-4621
Fax Number	:	281-428-4702

Provider Business Practice Location Address
First Line	:	5136 RICHMOND AVE
Second Line	:	NO. 5136
City	:	HOUSTON
State	:	TX
Zip	:	77056-6702
Country	:	US
Telephone Number	:	832-398-4621
Fax Number	:	281-428-4702

Authorized Official
Title or Position	:	DOCTOR OF OPTOMETRY
Name	:	DR. LINH TRAN LE
Credential	:	OD
Telephone Number	:	832-398-4621

Provider Enumeration Date	:	02/26/2010
Last Update Date	:	02/26/2010

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