Individual provider · NPI-1

Dr. Camille Chung, O.D.

Optometrist · Tempe, AZ

NPI number1598968463
StatusActive
Last updated in NPPESJul 18, 2007

Details

NPI
1598968463
Entity type
Individual (NPI-1)
Name
Dr. Camille Chung
Credential
O.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 7, 2007
Last updated
Jul 18, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist957AZYes

Practice location

7511 S. Mc Clintock Dr
Tempe, AZ 85283

Phone 480-967-4910

Mailing address

7511 S. Mc Clintock Dr.
Tempe, AZ 85283

Phone 480-967-4910

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