Provider Demographics
NPI:1578310496
Name:BRIAN CHO OPTOMETRY PLLC
Entity type:Organization
Organization Name:BRIAN CHO OPTOMETRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:OD, MS
Authorized Official - Phone:631-736-6161
Mailing Address - Street 1:5 BELLPORT LN
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-2748
Mailing Address - Country:US
Mailing Address - Phone:631-286-4014
Mailing Address - Fax:
Practice Address - Street 1:1850 ROUTE 112 STE L
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-2232
Practice Address - Country:US
Practice Address - Phone:631-736-6161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty