Provider Demographics
NPI:1497930986
Name:CHUN, ANDREW SUKY (OD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:SUKY
Last Name:CHUN
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 1:8237 HEMINGWAY DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-4986
Mailing Address - Country:US
Mailing Address - Phone:916-423-3936
Mailing Address - Fax:
Practice Address - Street 1:1325 FLORIN RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-3618
Practice Address - Country:US
Practice Address - Phone:916-393-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13371T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist