Provider Demographics
NPI:1275846750
Name:CHUNG, HON QUOC (OD)
Entity Type:Individual
Prefix:DR
First Name:HON
Middle Name:QUOC
Last Name:CHUNG
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 1:7320 ROGERS AVE
Mailing Address - Street 2:SUITE 14
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-4166
Mailing Address - Country:US
Mailing Address - Phone:479-452-9173
Mailing Address - Fax:
Practice Address - Street 1:7320 ROGERS AVE
Practice Address - Street 2:SUITE 14
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-4166
Practice Address - Country:US
Practice Address - Phone:479-452-9173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2645152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist