Provider Demographics
NPI:1033329784
Name:CHOE, LEEANN (OD)
Entity Type:Individual
Prefix:DR
First Name:LEEANN
Middle Name:
Last Name:CHOE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:BARKER
Mailing Address - State:TX
Mailing Address - Zip Code:77413-0457
Mailing Address - Country:US
Mailing Address - Phone:281-644-4471
Mailing Address - Fax:281-644-4473
Practice Address - Street 1:25108 MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4430
Practice Address - Country:US
Practice Address - Phone:281-644-4471
Practice Address - Fax:281-644-4473
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6795T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist