Provider Demographics
NPI:1932496890
Name:LI, HOI FONG (OD)
Entity Type:Individual
Prefix:
First Name:HOI FONG
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18015 64TH AVE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-2101
Mailing Address - Country:US
Mailing Address - Phone:347-351-2382
Mailing Address - Fax:
Practice Address - Street 1:24910 HORACE HARDING EXPY
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-2050
Practice Address - Country:US
Practice Address - Phone:585-888-3230
Practice Address - Fax:585-888-3222
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007723152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist