Justin Chihyan Pao, O.D. Valid NPI
Individual provider · Optometrist · Fort Rucker, AL
- NPI
- 1033497748
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- TUV007747-1 (NY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-07-29
- Last updated
- 2016-07-27
Practice location
301 Andrews Ave
Fort Rucker, AL 36362-5333
(800) 261-7193