Provider Demographics
NPI:1659338291
Name:UNG, SYLVIAN HIEN (OD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIAN
Middle Name:HIEN
Last Name:UNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5717 BALCONES DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4203
Mailing Address - Country:US
Mailing Address - Phone:512-327-7000
Mailing Address - Fax:512-314-1660
Practice Address - Street 1:1700 S MO PAC EXPY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:512-327-7000
Practice Address - Fax:512-314-1660
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT001741152W00000X
TX6802TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX927779OtherBLOCK VISION
32787-019OtherDAVIS VISION
TX81497QOtherBLUE CROSS/BLUE SHIELD TX
U84349Medicare UPIN
32951-022OtherDAVIS VISION
GAP00637335Medicare PIN
10067274OtherAMERIGROUP
55343-005OtherDAVIS VISION
TX8G7355Medicare PIN
TX1228247OtherAETNA
150052100OtherFIRST CARE
TX8284349OtherBLUELINK
TX6802OtherEYEMED
VP10156OtherGE WELLNESS
TX181040001Medicaid