Provider Demographics
NPI:1689924144
Name:LE, HONG VINH VAN (OD)
Entity Type:Individual
Prefix:DR
First Name:HONG
Middle Name:VINH VAN
Last Name:LE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:HONG
Other - Middle Name:VINH VAN
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:8931 FRY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6883
Mailing Address - Country:US
Mailing Address - Phone:832-220-6168
Mailing Address - Fax:
Practice Address - Street 1:8931 FRY RD
Practice Address - Street 2:200
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433
Practice Address - Country:US
Practice Address - Phone:832-220-6168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8022TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist