Organization
CHARLES SUNG MD PC
Active
Other names
Retina Laser Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES C SUNG M.D. (MEDICAL DIRECTOR)
(509) 736-5550
Entity
Organization
Contact information
Practice address
317 N DELAWARE ST, KENNEWICK, WA 99336-7750
(509) 736-5550
(509) 737-8281
Mailing address
317 N DELAWARE ST, KENNEWICK, WA 99336-7750
(509) 736-5550
(509) 737-8281
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8807705
MEDICARE ASC ID-TYPE UNSPECIFIED
WA
01
—
G8854419
MEDICARE GROUP ID-TYPE UNSPECIFIED
WA
Enumeration date
03/27/2007
Last updated
11/08/2017
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