Dr. Mimi Ngoc Bao Le is a Tyler, Texas based female Optometrist who is specialized in Optometry. Active license number of Dr. Mimi Ngoc Bao Le is 6783T for Optometry in Texas. Dr. Mimi Ngoc Bao Le examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Mimi Ngoc Bao Le speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Female
Practice Address:
4901 S Broadway Ave, Tyler, Texas, 75703-1325
Phone:
903-508-2498
Fax:
903-508-2500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1073593000
NPI Enumeration Date:
17 Jan, 2006
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mimi Ngoc Bao Le are as mentioned below.
License Number
Specialization
State
Status
6783T
Optometry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mimi Ngoc Bao Le such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
181592001
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
830 Carriage Drive, Tyler, Texas
Zip:
75703
Phone Number:
903-316-2092
Fax Number:
903-508-2500
Patients can reach Dr. Mimi Ngoc Bao Le at 4901 S Broadway Ave, Tyler, Texas or can call to book an appointment on 903-508-2498. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.