Provider Demographics
NPI:1629073051
Name:YOON, FRANK H (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:H
Last Name:YOON
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 1:311 N TUSTIN ST
Mailing Address - Street 2:STE B
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-7776
Mailing Address - Country:US
Mailing Address - Phone:714-997-7500
Mailing Address - Fax:714-997-4864
Practice Address - Street 1:311 N TUSTIN ST
Practice Address - Street 2:STE B
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-7776
Practice Address - Country:US
Practice Address - Phone:714-997-7500
Practice Address - Fax:714-997-4864
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9130T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0091300Medicaid
3560890001Medicare NSC
OP9130CAMedicare PIN
U09968Medicare UPIN