Organization
DR. CONNIE CHOI FAMILY OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE SHINAE CHOI OD (OWNER/OPTOMETRIST)
(510) 441-7403
Entity
Organization
Contact information
Practice address
30600 DYER ST, UNION CITY, CA 94587-1717
(510) 441-7403
(510) 324-8591
Mailing address
30600 DYER ST, UNION CITY, CA 94587-1717
(510) 441-7403
(510) 324-8591
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104977693
NATIONAL PROVIDER IDENTIFICATION NUMBER
—
01
—
12903TPA
OPTOMETRY LICENSE
CA
Enumeration date
01/15/2019
Last updated
01/15/2019
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