DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MIMI NGOC BAO LE, OD

Active Sole Proprietor

Optometrist · TYLER, TX

Registration Details

NPI Number
1073593000
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2006 (20.26013007217 yrs)
Last Updated
Jul 21, 2022
License
6783T (TX)
Sole Proprietor
Yes

Practice Information

Address
4901 S BROADWAY AVE
TYLER, TX, 757031325
Browse TX providers · Browse ZIP 75703
Phone
9035082498
Fax
9035082500
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in TYLER, TX

Name Credential NPI
MR. MARK G LLOYD O. D. 1184627044
DR. JOSHUA S HOOPER OD 1154328870
MR. JOHN K DEATON O.D. 1497752109
DR. GAROLD LEWIS TIMMONS OD 1669465704
DR. RONALD NEAL SMITH OD 1215920111
BRYAN E FRAZIER O.D. 1003887670
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.