Provider Demographics
NPI:1780931311
Name:SON, MIN HOA (OD)
Entity type:Individual
Prefix:DR
First Name:MIN
Middle Name:HOA
Last Name:SON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1447 DEEPWELL CIR
Mailing Address - Street 2:
Mailing Address - City:JAMISON
Mailing Address - State:PA
Mailing Address - Zip Code:18929-1407
Mailing Address - Country:US
Mailing Address - Phone:267-884-4630
Mailing Address - Fax:866-295-9120
Practice Address - Street 1:1211 W. LANCASTER AVE.
Practice Address - Street 2:
Practice Address - City:ROSEMONT
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:610-525-2580
Practice Address - Fax:610-525-2416
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG002658152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist