Organization
DAE HEUNG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEUNG WOO HONG O.D. (OWNER)
(540) 454-7288
Entity
Organization
Contact information
Practice address
8200 SUDLEY RD, MANASSAS, VA 20109-3459
(703) 369-9356
(703) 369-4861
Mailing address
20336 CHARTER OAK DR, ASHBURN, VA 20147-7409
(540) 242-3766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001372
VA
152W00000X
Optometrist
TA1854
MD
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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