Organization
NORTHERN AVENUE EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA CHUNG O.D. (MEMBER)
(602) 995-8848
Entity
Organization
Contact information
Practice address
2337 W NORTHERN AVE, PHOENIX, AZ 85021-4918
(602) 995-8848
(602) 995-2980
Mailing address
2337 W NORTHERN AVE, PHOENIX, AZ 85021-4918
(602) 995-8848
(602) 995-2980
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1131
AZ
Other
Enumeration date
01/09/2007
Last updated
01/26/2010
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