Provider Demographics
NPI:1902506454
Name:K-TOP OPTOMETRY INC.
Entity Type:Organization
Organization Name:K-TOP OPTOMETRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JUNG
Authorized Official - Middle Name:HOON
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:ABO
Authorized Official - Phone:949-932-0961
Mailing Address - Street 1:4200 TRABUCO RD STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-3617
Mailing Address - Country:US
Mailing Address - Phone:949-932-0961
Mailing Address - Fax:
Practice Address - Street 1:4200 TRABUCO RD STE 100
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-3617
Practice Address - Country:US
Practice Address - Phone:949-932-0961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center