Jeong, Grace Eunhye
Jeong, Grace Eunhye is an individual health care provider with primary practice located at 1353 Dorchester Ave , Dorchester MA 02122-2932. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jeong, Grace Eunhye can be contacted via phone (617) 288-3230.Contact Information
Primary practice address
1353 Dorchester Ave
Dorchester MA 02122-2932
Phone: (617) 288-3230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5183 | Massachusetts |
Profile Details
| NPI number | 1093121816 |
|---|---|
| LBN Legal business name | Jeong, Grace Eunhye |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2014 |
| Last updated | Feb 14th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093121816 | NPPES |
| New Hampshire | MEDICAID | 3102027 |
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