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NPI Code Detail

MEDICARE: VERONICA BYUN OD

MEDICARE: VERONICA BYUN OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist0618003622VA
2152W00000XOptometristOPT003723GA

General Provider Information

NPI Number : 1497602106
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA BYUN OD
Provider Business Mailing Address
First Line : 15933 CLAYTON RD STE 210
Second Line :
City : BALLWIN
State : MO
Zip : 63011-2172
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6756 RICHMOND HWY
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-6701
Country : US
Telephone Number : 636-200-4393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 05/29/2026

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