IndividualActive
Jungha Back
NPI 1376250720 · Optician · Montgomery, AL
Provider details
- NPI number
- 1376250720
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 232077 (AL)
Practice location
1726 W 3rd St
Montgomery, AL 36106-1506
Phone: (334) 593-3932
Fax: (334) 593-7715
Mailing address
1726 W 3rd St
Montgomery, AL 36106-1506
Registry dates
- Enumerated
- 2022-11-03
- Last updated
- 2022-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.