Provider Demographics
NPI:1811925134
Name:JUN, WEON (OD)
Entity type:Individual
Prefix:DR
First Name:WEON
Middle Name:
Last Name:JUN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Mailing Address - Street 2:P-3-EYE
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-2964
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1331 NW LOVEJOY ST STE 750
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-3281
Practice Address - Country:US
Practice Address - Phone:503-535-2883
Practice Address - Fax:503-535-2887
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 10765152W00000X
WA3252152W00000X
OR2514ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORU63270Medicare UPIN