Provider Demographics
NPI:1952459216
Name:LE, ANHTON QUY (OD)
Entity Type:Individual
Prefix:
First Name:ANHTON
Middle Name:QUY
Last Name:LE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:7277 SASHAYING SPIRIT CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-2356
Mailing Address - Country:US
Mailing Address - Phone:702-328-7296
Mailing Address - Fax:702-898-2015
Practice Address - Street 1:6555 N DECATUR BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-2796
Practice Address - Country:US
Practice Address - Phone:702-233-2015
Practice Address - Fax:702-898-2015
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV462152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV28947OtherSPECTERA
NV7075397OtherAETNA