Individual
JORGE WON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
84 07 ROOSEVELT AVENUE, JACKSON HEIGHTS, NY 11372
(718) 651-2020
(718) 651-2034
Mailing address
84 07 ROOSEVELT AVENUE, JACKSON HEIGHTS, NY 11372
(718) 651-2020
(718) 651-2034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0045621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00909999
—
NY
Enumeration date
11/06/2006
Last updated
04/23/2010
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