Provider Demographics
NPI:1366879843
Name:CHUN, JONATHAN K (OD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:K
Last Name:CHUN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:737 BISHOP ST STE 110
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3202
Mailing Address - Country:US
Mailing Address - Phone:808-523-6484
Mailing Address - Fax:844-784-6588
Practice Address - Street 1:737 BISHOP ST STE 110
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-523-6484
Practice Address - Fax:844-784-6588
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD 777152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist