Provider Demographics
NPI:1902238116
Name:XIONG, POJ-LAIM HU (OD)
Entity Type:Individual
Prefix:DR
First Name:POJ-LAIM
Middle Name:HU
Last Name:XIONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 W WELLS ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53233-1822
Mailing Address - Country:US
Mailing Address - Phone:773-225-9797
Mailing Address - Fax:
Practice Address - Street 1:1437 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-4931
Practice Address - Country:US
Practice Address - Phone:262-334-1925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3318-35152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist