Provider Demographics
NPI:1669751590
Name:HAN, LICHING (OD)
Entity type:Individual
Prefix:DR
First Name:LICHING
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LIQING
Other - Middle Name:
Other - Last Name:HAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:21406 PENSHORE PLACE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-6504
Mailing Address - Country:US
Mailing Address - Phone:832-212-6378
Mailing Address - Fax:
Practice Address - Street 1:6725 S FRY RD
Practice Address - Street 2:SUITE 400
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8102
Practice Address - Country:US
Practice Address - Phone:832-212-6378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7745TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist