Mike V. Wong O.D.

NPI 1013982206 - Optometrist - 152W00000X

NPI Details
NPI 1013982206
Gender Male
Enumeration Date 02/21/2006
Last Updated 01/05/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
80 N LAKE AVE
SUITE 102
PASADENA CA, 91101-5626, US
Phone (626) 356-8088
Fax (626) 356-8078
Business Location
80 N LAKE AVE
SUITE 102
PASADENA CA, 91101-5626, US
Phone (626) 356-8088
Fax (626) 356-8078
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 10566T
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According to our database, Dr. Mike V. Wong O.D. NPI is 1013982206, taxonomy code is 152W00000X and license number is 10566T, license state is located at California. Mike V. Wong O.D. physically located at 80 N Lake Ave, Pasadena CA, 91101-5626. NPI Number Mike V. Wong O.D. has the Individual type.

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1013982206 NPI number is provided on an as is basis without warranty of any kind. 1013982206 is maintained by the National Plan & Provider Enumeration System. The contents of Mike V. Wong O.D. are for informational purposes only.