Provider Demographics
NPI:1528497732
Name:LE, MY HONG (OD)
Entity type:Individual
Prefix:DR
First Name:MY
Middle Name:HONG
Last Name:LE
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:4600 HICKORY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9159
Mailing Address - Country:US
Mailing Address - Phone:336-332-0097
Mailing Address - Fax:336-332-0098
Practice Address - Street 1:121 W ELMSLEY ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-8276
Practice Address - Country:US
Practice Address - Phone:336-332-0097
Practice Address - Fax:336-332-0098
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2014-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2343152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist