Jin Bong Ha, OD Valid NPI
Individual provider · Optometrist · Fort Rucker, AL
- NPI
- 1154423135
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- TUV007074 (NY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-09-01
- Last updated
- 2026-03-19
Practice location
301 Andrews Ave
Fort Rucker, AL 36362-5333
(800) 261-7193