Provider Demographics
NPI:1184340028
Name:C & Y DOCTORS OF OPTOMETRY, INC
Entity type:Organization
Organization Name:C & Y DOCTORS OF OPTOMETRY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HAE
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHUN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:678-916-5840
Mailing Address - Street 1:3511 BRASELTON HWY.
Mailing Address - Street 2:STE G-200
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-5927
Mailing Address - Country:US
Mailing Address - Phone:678-916-5840
Mailing Address - Fax:678-916-5844
Practice Address - Street 1:3511 BRASELTON HWY.
Practice Address - Street 2:STE G-200
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-5927
Practice Address - Country:US
Practice Address - Phone:678-916-5840
Practice Address - Fax:678-916-5844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty