Sulkyung NA Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11542T Issued in CA

Legal business name

SULKYUNG NA OPTOMETRY INC

Practice address

431 E 1St St Ste 4B
Santa Ana, CA 92701-5303

Phone

(714) 564-0760

Fax

(714) 564-0747

NPI assigned

Jul 12, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sulkyung J NA, OD

Title

President

Phone

(714) 564-0760

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eyedeal Optometry Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1295090579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E 1ST ST STE 4B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015303",
            "telephone_number": "714-564-0760",
            "fax_number": "714-564-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E 1ST ST STE 4B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015303",
            "telephone_number": "714-564-0760",
            "fax_number": "714-564-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULKYUNG NA OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "NA",
        "authorized_official_first_name": "SULKYUNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-564-0760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11542T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1568551125",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0115420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyedeal Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mike Suh
• Yae K Suh, MD
• Jin Wen Sui, MD
• Manohar Sukumar, JD, MPH
• Fardosa Suleiman
• Faith Sumandea, MD
• Kathy Summers, LCSW
• Summit DME Inc
• Belinda Sun
• Paul Sun

• Optometrist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.