Provider Demographics
NPI:1427259100
Name:DO, HIEN (OD)
Entity type:Individual
Prefix:
First Name:HIEN
Middle Name:
Last Name:DO
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 1:3160 JULIETTE DR
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-4069
Mailing Address - Country:US
Mailing Address - Phone:419-229-6878
Mailing Address - Fax:
Practice Address - Street 1:2400 ELIDA RD
Practice Address - Street 2:SEARS OPTICAL
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-1299
Practice Address - Country:US
Practice Address - Phone:419-331-4810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5024152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist