Healthcare Provider Details

I. General information

NPI: 1871482026
Provider Name (Legal Business Name): JOYCE KUO OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 W CHERRY ST
SUNBURY OH
43074-8556
US

IV. Provider business mailing address

783 KERR ST
COLUMBUS OH
43215-1560
US

V. Phone/Fax

Practice location:
  • Phone: 740-965-4671
  • Fax: 740-965-4923
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.007411
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: