Provider Demographics
NPI:1558781922
Name:BYUN, MATTHEW JOON YOUNG (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:JOON YOUNG
Last Name:BYUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 NEIL AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-7310
Mailing Address - Country:US
Mailing Address - Phone:614-464-3937
Mailing Address - Fax:614-464-0088
Practice Address - Street 1:262 NEIL AVE STE 220
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-7310
Practice Address - Country:US
Practice Address - Phone:614-464-3937
Practice Address - Fax:614-464-0088
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35138561207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty