Individual
DR. JUDITH EUNJUNG OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2914 S ALDER ST, TACOMA, WA 98409-4819
(253) 272-9245
(253) 272-9413
Mailing address
9505 STEELE ST S, TACOMA, WA 98444-6858
(253) 597-6800
(253) 597-6888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00004014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016897
COVENTRY HEALTH CARE
WA
05
—
2032522
—
WA
01
—
216087
LABOR & INDUSTRIES
WA
01
—
3985872
CIGNA
WA
01
—
749912
AETNA
WA
01
—
OD409WA
ALASKA MEDICAID
AK
01
—
P00407154
RAILROAD MEDICARE
WA
01
—
QMP000003361514
MOLINA
WA
Enumeration date
04/15/2006
Last updated
05/28/2021
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