Le, Cuc Kim T

Le, Cuc Kim T is an individual health care provider with primary practice located at 5959 Long Prairie Road , Flower Mound TX 75028. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Le, Cuc Kim T can be contacted via phone (214) 513-8039.

Contact Information

Primary practice address
5959 Long Prairie Road Flower Mound TX 75028
Phone: (214) 513-8039
Fax: (972) 874-6719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046010315 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 7923T Texas

Profile Details

NPI number 1124343561
LBN Legal business name Le, Cuc Kim T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2010
Last updated Oct 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124343561 NPPES
Illinois Other 579250097 MEDICARE PTAN
Illinois Other 579270084 MEDICARE PTAN

Popular Providers