Provider Demographics
NPI:1285865626
Name:CHO, MELISSA SUN (OD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:SUN
Last Name:CHO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:621 5TH AVE N STE B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4241
Mailing Address - Country:US
Mailing Address - Phone:206-217-2015
Mailing Address - Fax:
Practice Address - Street 1:621 5TH AVE N STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4241
Practice Address - Country:US
Practice Address - Phone:206-217-2015
Practice Address - Fax:206-217-2060
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60102748152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist