Provider Demographics
NPI:1063574119
Name:SEAN JANG, O.D., P.C.
Entity type:Organization
Organization Name:SEAN JANG, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:JANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-242-0789
Mailing Address - Street 1:2828 CHAD DR
Mailing Address - Street 2:OPTOMETRY
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-7336
Mailing Address - Country:US
Mailing Address - Phone:541-242-0789
Mailing Address - Fax:541-242-0787
Practice Address - Street 1:2828 CHAD DR
Practice Address - Street 2:OPTOMETRY
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97408-7336
Practice Address - Country:US
Practice Address - Phone:541-242-0789
Practice Address - Fax:541-242-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2017-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty