Provider Demographics
NPI:1942565320
Name:CHO, HANNAH J (OD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:J
Last Name:CHO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:250 E YALE LOOP STE G
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4697
Mailing Address - Country:US
Mailing Address - Phone:949-333-7504
Mailing Address - Fax:949-333-7503
Practice Address - Street 1:250 E YALE LOOP STE G
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4697
Practice Address - Country:US
Practice Address - Phone:949-333-7504
Practice Address - Fax:949-333-7503
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA14488152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGM272AMedicare PIN