Individual
DR. JIN BONG HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(800) 261-7193
Mailing address
3960 54TH ST APT 6T, WOODSIDE, NY 11377-4215
(917) 518-7375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007074
NY
Other
Enumeration date
09/01/2006
Last updated
03/19/2026
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