Individual
DR. STEVEN WANGSOO JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000125710
REGENCE BLUESHIELD
WA
05
—
2032191
—
WA
Enumeration date
05/05/2006
Last updated
03/07/2023
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