Provider Demographics
NPI:1922158872
Name:LE, ANH (OPTOMETRIST)
Entity Type:Individual
Prefix:DR
First Name:ANH
Middle Name:
Last Name:LE
Suffix:
Gender:M
Credentials:OPTOMETRIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4353 PARK TERRACE DR
Mailing Address - Street 2:STE 150
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4639
Mailing Address - Country:US
Mailing Address - Phone:805-987-5300
Mailing Address - Fax:818-707-7668
Practice Address - Street 1:4353 PARK TERRACE DR STE 150
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4639
Practice Address - Country:US
Practice Address - Phone:805-987-5300
Practice Address - Fax:818-707-7668
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12986 TPL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist