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NPI Code Detail

MEDICARE: DR. ONAH CHO O.D.

MEDICARE: DR. ONAH CHO O.D.
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
1152W00000XOptometrist4592MA

General Provider Information

NPI Number : 1679655146
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ONAH CHO O.D.
Provider Business Mailing Address
First Line : 491 BEACON ST
Second Line : APT 4
City : BOSTON
State : MA
Zip : 02215-2341
Country : US
Telephone Number : 617-549-7671
Fax Number :
Provider Business Practice Location Address
First Line : 55 DIMOCK ST
Second Line : EYE CARE SERVICES
City : ROXBURY
State : MA
Zip : 02119-1029
Country : US
Telephone Number : 617-442-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ONAH CHO O.D.” Practice Location

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