Provider Demographics
NPI:1922052331
Name:WON, JUNE CHRISTINE (OD)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:CHRISTINE
Last Name:WON
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:P.O. BOX 457
Mailing Address - Street 2:
Mailing Address - City:BARKER
Mailing Address - State:TX
Mailing Address - Zip Code:77413
Mailing Address - Country:US
Mailing Address - Phone:281-644-4471
Mailing Address - Fax:281-644-4473
Practice Address - Street 1:25108 MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4430
Practice Address - Country:US
Practice Address - Phone:281-644-4471
Practice Address - Fax:281-644-4473
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5286TG152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management