Provider Demographics
NPI:1003866096
Name:CHOI, JUNG H (OD)
Entity Type:Individual
Prefix:
First Name:JUNG
Middle Name:H
Last Name:CHOI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3141 FM 528 RD
Mailing Address - Street 2:SUITE 324
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-8937
Mailing Address - Country:US
Mailing Address - Phone:281-316-0333
Mailing Address - Fax:281-316-2795
Practice Address - Street 1:3141 FM 528 RD
Practice Address - Street 2:SUITE 324
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-8937
Practice Address - Country:US
Practice Address - Phone:281-316-0333
Practice Address - Fax:281-316-2795
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6435TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1710543Medicaid
TX1710543Medicaid
TXV00285Medicare UPIN