Provider Demographics
NPI:1265545982
Name:HWANG, JOHN H (OD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:H
Last Name:HWANG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:5520 RIDGEVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-4611
Mailing Address - Country:US
Mailing Address - Phone:440-864-5113
Mailing Address - Fax:
Practice Address - Street 1:35830 DETROIT RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1681
Practice Address - Country:US
Practice Address - Phone:440-937-4311
Practice Address - Fax:440-937-4313
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4845/T1710152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist