Provider Demographics
NPI:1760532568
Name:HOANG, LONI LANANH (OD)
Entity Type:Individual
Prefix:MRS
First Name:LONI
Middle Name:LANANH
Last Name:HOANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3725 FOSSILWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-2348
Mailing Address - Country:US
Mailing Address - Phone:714-292-3926
Mailing Address - Fax:
Practice Address - Street 1:201 WALTON WAY STE 102
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7017
Practice Address - Country:US
Practice Address - Phone:512-259-7104
Practice Address - Fax:512-259-7063
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7493T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB127870Medicare PIN
CAU92123Medicare UPIN