Organization Name: | CHOI AND BANG OD, PC |
NPI Number: | 1003917469 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAE MATTHEW CHOI (OWNER) |
Mailing Address: | 1675 Cumberland Pkwy Se Suite 103 Smyrna |
State: | GA US |
Postal Code: | 300806359 |
Phone Number: | 7704380202 |
Fax Number: | 7704385033 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 06/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 2019 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |