Provider Demographics
NPI:1568580637
Name:LE, ANNE HUYEN (OD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:HUYEN
Last Name:LE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10080 BELLAIRE BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5249
Mailing Address - Country:US
Mailing Address - Phone:713-774-3211
Mailing Address - Fax:713-774-2130
Practice Address - Street 1:10080 BELLAIRE BLVD STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5255
Practice Address - Country:US
Practice Address - Phone:713-774-3211
Practice Address - Fax:713-774-2130
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4111T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX47825701Medicaid
TX8F0438Medicare ID - Type Unspecified
TXT86691Medicare UPIN