Provider Demographics
NPI:1396177879
Name:HO, MEI (OD)
Entity Type:Individual
Prefix:DR
First Name:MEI
Middle Name:
Last Name:HO
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 1:1271 BROADWAY
Mailing Address - Street 2:#JZ OPTICAL EXPRESS
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-2908
Mailing Address - Country:US
Mailing Address - Phone:718-602-0888
Mailing Address - Fax:
Practice Address - Street 1:1271 BROADWAY
Practice Address - Street 2:#JZ OPTICAL EXPRESS
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-2908
Practice Address - Country:US
Practice Address - Phone:718-602-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007986-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist