Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 27OA00636900 | NJ |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | CA9005TPL | CA |
NPI | 1295832996 |
---|---|
Provider Name | Dr. James Han |
First Address | West New York, NJ 07093-5524 |
Second Address | West New York, NJ 07093-5524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 08/05/2013 |