Provider Demographics
NPI:1538519731
Name:CHUN, HAE W (OD)
Entity Type:Individual
Prefix:DR
First Name:HAE
Middle Name:W
Last Name:CHUN
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:3511 BRASELTON HWY
Mailing Address - Street 2:STE G-200
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-5927
Mailing Address - Country:US
Mailing Address - Phone:678-916-5840
Mailing Address - Fax:678-916-5844
Practice Address - Street 1:3511 BRASELTON HWY
Practice Address - Street 2:STE G-200
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-5927
Practice Address - Country:US
Practice Address - Phone:678-916-5840
Practice Address - Fax:678-916-5844
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2023-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAOPT002943152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist