Provider Demographics
NPI:1528259595
Name:JOO, CATHERINE (OD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:JOO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:5801 DUKE ST
Mailing Address - Street 2:E-128
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3208
Mailing Address - Country:US
Mailing Address - Phone:703-642-0720
Mailing Address - Fax:703-823-6642
Practice Address - Street 1:11103 WEST AVE
Practice Address - Street 2:6
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1370
Practice Address - Country:US
Practice Address - Phone:210-524-6509
Practice Address - Fax:210-524-6587
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0618001667152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist