Healthcare Provider Details

I. General information

NPI: 1497275440
Provider Name (Legal Business Name): 2 SEE OPTOMETRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 06/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 FOOTHILL BLVD STE D
LA CRESCENTA CA
91214-4237
US

IV. Provider business mailing address

5060 ANGELES CREST HWY
LA CANADA CA
91011-2368
US

V. Phone/Fax

Practice location:
  • Phone: 818-832-4646
  • Fax: 818-368-9898
Mailing address:
  • Phone: 818-790-5670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number11143T
License Number StateCA

VIII. Authorized Official

Name: DR. CATHERINE JUNGHYE HAN
Title or Position: DOCTOR
Credential: OD
Phone: 818-832-4646