Provider Demographics
NPI:1487780623
Name:AHN, HELENA (OD)
Entity type:Individual
Prefix:DR
First Name:HELENA
Middle Name:
Last Name:AHN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:HELENA
Other - Middle Name:
Other - Last Name:CHUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:901 S GRADY WAY
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3226
Mailing Address - Country:US
Mailing Address - Phone:425-793-7946
Mailing Address - Fax:425-793-9662
Practice Address - Street 1:901 S GRADY WAY
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3226
Practice Address - Country:US
Practice Address - Phone:425-793-7946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3387TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist