Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OD0000002333 | TN |
NPI | 1003826322 |
---|---|
Provider Name | Dr. Michael Harry Cho |
First Address | Knoxville, TN 37922-5778 |
Second Address | Knoxville, TN 37923-4602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 08/07/2007 |