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Organization
SULKYUNG NA OPTOMETRY INC
Active
Organization
SULKYUNG NA OPTOMETRY INC
Active
Other names
Eyedeal Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SULKYUNG J NA OD (PRESIDENT)
(714) 564-0760
Entity
Organization
Contact information
Practice address
431 E 1ST ST STE 4B, SANTA ANA, CA 92701-5303
(714) 564-0760
(714) 564-0747
Mailing address
431 E 1ST ST STE 4B, SANTA ANA, CA 92701-5303
(714) 564-0760
(714) 564-0747
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11542T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568551125
INDIVIDUAL NPI
CA
05
—
SD0115420
—
CA
Enumeration date
07/12/2012
Last updated
11/06/2012
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