Provider Demographics
NPI:1679508832
Name:LE, DIEN TRUY (OD)
Entity Type:Individual
Prefix:
First Name:DIEN
Middle Name:TRUY
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 1:4500 W 38TH AVE
Mailing Address - Street 2:STE 130
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2005
Mailing Address - Country:US
Mailing Address - Phone:312-497-9205
Mailing Address - Fax:303-412-2117
Practice Address - Street 1:8735 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80003-1440
Practice Address - Country:US
Practice Address - Phone:303-412-6570
Practice Address - Fax:303-412-2117
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2512152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist