| Hannah Cho Optometry 3, Inc | |
|
18120 Brookhurst St Ste 19 Fountain Valley CA 92708-6727 | |
| (949) 209-9009 | |
| (949) 209-9009 |
| Full Name | Hannah Cho Optometry 3, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18120 Brookhurst St Ste 19, Fountain Valley, California |
| Authorized Official Name and Position | Hannah Cho (OWNER) |
| Authorized Official Contact | 3235138430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Cho Optometry 3, Inc 18120 Brookhurst St Ste 19 Fountain Valley CA 92708-6727 Ph: (949) 209-9009 | Hannah Cho Optometry 3, Inc 18120 Brookhurst St Ste 19 Fountain Valley CA 92708-6727 Ph: (949) 209-9009 |
| NPI Number | 1801471735 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Medicare PECOS PAC ID | 1850797580 |
|---|---|
| Medicare Enrollment ID | O20210904000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801471735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Keith Michael Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568950657 PECOS PAC ID: 8426306952 Enrollment ID: I20210914001584 |
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