Provider Demographics
NPI:1063852838
Name:HUNG, JUSTINE YIJIUN (OD)
Entity Type:Individual
Prefix:MISS
First Name:JUSTINE
Middle Name:YIJIUN
Last Name:HUNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6929 AIRPORT BLVD STE 165
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3616
Mailing Address - Country:US
Mailing Address - Phone:512-580-9035
Mailing Address - Fax:
Practice Address - Street 1:6929 AIRPORT BLVD STE 165
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-3616
Practice Address - Country:US
Practice Address - Phone:512-580-9035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8184TG152W00000X
TX8184T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist