Provider Demographics
NPI:1649435827
Name:MAK, JENNY KA-YEE (OD)
Entity type:Individual
Prefix:DR
First Name:JENNY KA-YEE
Middle Name:
Last Name:MAK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2423 WROXTON RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1435
Mailing Address - Country:US
Mailing Address - Phone:469-835-2914
Mailing Address - Fax:
Practice Address - Street 1:5307 FM 1960 RD W STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4417
Practice Address - Country:US
Practice Address - Phone:281-440-5887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-27
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7295T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist