Provider Demographics
NPI:1437358017
Name:LE, HELEN HN (OD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:HN
Last Name:LE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:THUY-HIEN
Other - Middle Name:THI
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:27 MEMORIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4539
Mailing Address - Country:US
Mailing Address - Phone:781-986-7400
Mailing Address - Fax:781-986-5201
Practice Address - Street 1:27 MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-4539
Practice Address - Country:US
Practice Address - Phone:781-986-7400
Practice Address - Fax:781-986-5201
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4712152W00000X
MEOPT914152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0728241Medicaid
ME1437358017OtherANTHEM
ME435949199Medicaid
MA834801Medicare PIN
ME000834804Medicare PIN
ME1437358017OtherANTHEM