Provider Demographics
NPI:1568436475
Name:TO, HOA K (OD)
Entity Type:Individual
Prefix:DR
First Name:HOA
Middle Name:K
Last Name:TO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:HOA
Other - Middle Name:K
Other - Last Name:TO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:10515 BELLAIRE BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5234
Mailing Address - Country:US
Mailing Address - Phone:281-564-5588
Mailing Address - Fax:281-564-0521
Practice Address - Street 1:10515 BELLAIRE BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5234
Practice Address - Country:US
Practice Address - Phone:281-564-5588
Practice Address - Fax:281-564-0521
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05598T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81231QOtherBLUE CROSS & BLUE SHIELD
TX8D1415Medicare PIN
U73144Medicare UPIN