Elmer Wong O.D.

NPI 1043248990 - Optometrist - 152W00000X

NPI Details
NPI 1043248990
Gender Male
Enumeration Date 06/29/2006
Last Updated 04/16/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
6700 N 1ST ST
103
FRESNO CA, 93710-3900, US
Phone (559) 438-6440
Fax (559) 438-4324
Business Location
6700 N 1ST ST
103
FRESNO CA, 93710-3900, US
Phone (559) 438-6440
Fax (559) 438-4324
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 8139T
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According to our database, Dr. Elmer Wong O.D. NPI is 1043248990, taxonomy code is 152W00000X and license number is 8139T, license state is located at California. Elmer Wong O.D. physically located at 6700 N 1st St, Fresno CA, 93710-3900. NPI Number Elmer Wong O.D. has the Individual type.

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1043248990 NPI number is provided on an as is basis without warranty of any kind. 1043248990 is maintained by the National Plan & Provider Enumeration System. The contents of Elmer Wong O.D. are for informational purposes only.