Chih Jen Wang O.D.

NPI 1861443079 - Optometrist - 152W00000X

NPI Details
NPI 1861443079
Gender Male
Enumeration Date 05/12/2006
Last Updated 02/14/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1560 W US HIGHWAY 50
O FALLON IL, 62269-1619, US
Phone (618) 397-6575
Fax (800) 432-6004
Business Location
ALTON IL, 62002-6220, US
Phone (800) 407-2696
Fax (800) 432-6004
Taxonomy Code 152W00000X
License State Missouri
License Number 2004001752
Remove 1861443079 NPI Number

According to our database, Dr. Chih Jen Wang O.D. NPI is 1861443079, taxonomy code is 152W00000X and license number is 2004001752, license state is located at Missouri. Chih Jen Wang O.D. physically located at 1560 W Us Highway 50, O Fallon IL, 62269-1619. NPI Number Chih Jen Wang O.D. has the Individual type.

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1861443079 NPI number is provided on an as is basis without warranty of any kind. 1861443079 is maintained by the National Plan & Provider Enumeration System. The contents of Chih Jen Wang O.D. are for informational purposes only.