Provider Demographics
NPI:1457544488
Name:HWANG, JULIE SOPHIA (OD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:SOPHIA
Last Name:HWANG
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 1:927 E ARQUES AVE STE 181
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4533
Mailing Address - Country:US
Mailing Address - Phone:408-749-1530
Mailing Address - Fax:
Practice Address - Street 1:927 E ARQUES AVE STE 181
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4533
Practice Address - Country:US
Practice Address - Phone:408-749-1530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1642152WL0500X
CA13254152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation