Provider Demographics
NPI:1811419450
Name:HU, JUDY CHUN (OD)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:CHUN
Last Name:HU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CHUN YU
Other - Middle Name:
Other - Last Name:HU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:307 NEVADA AVE
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1098
Mailing Address - Country:US
Mailing Address - Phone:585-469-2606
Mailing Address - Fax:
Practice Address - Street 1:17001 SCIENCE DR STE 120
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4330
Practice Address - Country:US
Practice Address - Phone:301-860-1090
Practice Address - Fax:301-860-1095
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2020-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA2600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist