Individual
JESSICA CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(617) 657-6455
Mailing address
1 LYONS ST, DEDHAM, MA 02026-5599
(617) 657-6455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5624
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2023
Last updated
04/08/2026
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