Healthcare Provider Details

I. General information

NPI: 1457544488
Provider Name (Legal Business Name): JULIE SOPHIA HWANG O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 E ARQUES AVE STE 181
SUNNYVALE CA
94085-4533
US

IV. Provider business mailing address

927 E ARQUES AVE STE 181
SUNNYVALE CA
94085-4533
US

V. Phone/Fax

Practice location:
  • Phone: 408-749-1530
  • Fax:
Mailing address:
  • Phone: 408-749-1530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number1642
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number13254
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: