Provider Demographics
NPI:1508147265
Name:LE, OANH KIM (OD)
Entity Type:Individual
Prefix:DR
First Name:OANH
Middle Name:KIM
Last Name:LE
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 1:5135 W ALABAMA ST STE 5410
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5814
Mailing Address - Country:US
Mailing Address - Phone:713-963-0021
Mailing Address - Fax:713-850-0278
Practice Address - Street 1:9219 BELLAIRE BLVD APT 249
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4501
Practice Address - Country:US
Practice Address - Phone:510-499-4024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8913T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist