Provider Demographics
NPI:1134286289
Name:JANG, HYUN (OD)
Entity Type:Individual
Prefix:
First Name:HYUN
Middle Name:
Last Name:JANG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 CHAD DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-7336
Mailing Address - Country:US
Mailing Address - Phone:213-700-5593
Mailing Address - Fax:541-242-0787
Practice Address - Street 1:2828 CHAD DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97408-7336
Practice Address - Country:US
Practice Address - Phone:541-242-0789
Practice Address - Fax:541-242-0787
Is Sole Proprietor?:No
Enumeration Date:2007-01-01
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2431AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist