| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HYOUNG ILL LHO | 1770504466 | 2023-11-12 |
Hyoung Ill Lho is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1770504466. Registration indicates Hyoung Ill Lho is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| Entity Type | Individual |
| Provider Name | Hyoung Ill Lho O.D. |
| Practice Office Address | 4800 MEMORIAL DR WACO, TX US |
| Practice Office Telephone | 2542973000 |
| Mailing Address | 4800 MEMORIAL DR BLDG 91 WACO, TX 767111329 US |
| Business Telephone | 2542973000 |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 5688TG
TX |
| 038573402 | MEDICAID | TX |