Provider Demographics
NPI:1144533043
Name:LE, RITA TIEN (OD)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:TIEN
Last Name:LE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:RITA
Other - Middle Name:TIEN
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1139 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-1868
Mailing Address - Country:US
Mailing Address - Phone:215-257-3937
Mailing Address - Fax:215-257-4251
Practice Address - Street 1:1139 N 5TH ST
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-1868
Practice Address - Country:US
Practice Address - Phone:215-257-3937
Practice Address - Fax:215-257-4251
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002350152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist