Individual provider · NPI-1
Ji Young Ahn, OD
Optometrist · Burlington, NC
NPI number1215713466
StatusActive
Last updated in NPPESMay 1, 2026
Details
- NPI
- 1215713466
- Entity type
- Individual (NPI-1)
- Name
- Ji Young Ahn
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2023
- Certification date
- May 1, 2026
- Last updated
- May 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0618003222 | VA | Yes |
| 152W00000X | Optometrist | 2802 | NC |
Practice location
2603 Holly Hill StBurlington, NC 27215-5156
Phone 336-228-6423
Mailing address
2603 Holly Hill StBurlington, NC 27215-5156
Phone 336-228-1766
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