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Contact Information

DERRICK Y CHUNG, OD
779 LAFAYETTE RD. UNIT 5
SEABROOK, NH03874-4351
 Phone: 603-474-3781
 Fax: 603-574-4839
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Dental Laboratory Technician

126900000X
Indicates primary specialty

NPI Profile & details for DERRICK Y CHUNG · (Male)

NPI Number 1386876282
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/12/2009
Last updated 01/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 123639
  • MA License # 4758
  • NH License # 0859
  • RI License # ODTG00564
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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