Provider Demographics
NPI:1184487340
Name:ZONE 2 OPTOMETRY
Entity type:Organization
Organization Name:ZONE 2 OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:C
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:909-270-7548
Mailing Address - Street 1:2795 W LINCOLN AVE STE L
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-6334
Mailing Address - Country:US
Mailing Address - Phone:714-527-5060
Mailing Address - Fax:714-527-5073
Practice Address - Street 1:2795 W LINCOLN AVE STE L
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-6334
Practice Address - Country:US
Practice Address - Phone:714-527-5060
Practice Address - Fax:714-527-5073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist