NPI 1376250720

Jungha Back

Practitioner Optician Montgomery, AL

Practice location

Address: 1726 W 3rd St, Montgomery, AL 36106-1506
Phone: (334) 593-3932
Fax: (334) 593-7715

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 232077 (AL)

Other Technician/Technologist providers in Alabama →

Registry record

NPI: 1376250720
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2022
Record last updated: 3 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.