Provider Demographics
NPI:1073666582
Name:YOON, HEEJUNG LAUREN (OD)
Entity Type:Individual
Prefix:DR
First Name:HEEJUNG
Middle Name:LAUREN
Last Name:YOON
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 1:124 CATALPA RD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-2004
Mailing Address - Country:US
Mailing Address - Phone:203-761-9921
Mailing Address - Fax:
Practice Address - Street 1:18 MILL PLAIN RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-5131
Practice Address - Country:US
Practice Address - Phone:203-743-9897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2587152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist