Individual provider · NPI-1

Andrew Ahn

Optometrist · Irving, TX

NPI number1740103175
StatusActive
Last updated in NPPESAug 3, 2026

Details

NPI
1740103175
Entity type
Individual (NPI-1)
Name
Andrew Ahn
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 3, 2026
Certification date
Aug 3, 2026
Last updated
Aug 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist11771TGTXYes

Practice location

563 Southridge Way
Irving, TX 75063-4244

Phone 469-404-9931

Mailing address

563 Southridge Way
Irving, TX 75063-4244

Phone 469-404-9931

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