Provider Demographics
NPI:1114251402
Name:NEW HOPE EYE CENTER, LLC
Entity type:Organization
Organization Name:NEW HOPE EYE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAK SUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-622-2020
Mailing Address - Street 1:2070 PLEASANT HILL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-4659
Mailing Address - Country:US
Mailing Address - Phone:770-622-2020
Mailing Address - Fax:770-622-2021
Practice Address - Street 1:2070 PLEASANT HILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4659
Practice Address - Country:US
Practice Address - Phone:770-622-2020
Practice Address - Fax:770-622-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA061567261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA216481561CMedicaid
GAI28633Medicare UPIN
GA216481561CMedicaid