Organization
EYE MAX OPTOMETRY WILSHIRE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SUK-KYUNG HAN O.D. (PRESIDENT)
(213) 382-2777
Entity
Organization
Contact information
Practice address
3359 WILSHIRE BLVD, LOS ANGELES, CA 90010-1803
(213) 382-2777
(213) 382-6777
Mailing address
3359 WILSHIRE BLVD, LOS ANGELES, CA 90010-1803
(213) 382-2777
(213) 382-6777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8482T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0084820
—
CA
Enumeration date
09/20/2006
Last updated
07/10/2008
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