Theresa Chong O.D.

NPI 1083878789 - Optometrist - 152WL0500X

NPI Details
NPI 1083878789
Gender Female
Enumeration Date 07/11/2008
Last Updated 09/15/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
6900 PECOS RD
NORTH LAS VEGAS NV, 89086-4400, US
Phone (702) 791-9000
Fax
Business Location
6900 PECOS RD
NORTH LAS VEGAS NV, 89086-4400, US
Phone
Fax
Toxanomy
Taxonomy Code 152WL0500X
License State Connecticut
License Number 002749
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According to our database, Miss Theresa Chong O.D. NPI is 1083878789, taxonomy code is 152WL0500X and license number is 002749, license state is located at Connecticut. Theresa Chong O.D. physically located at 6900 Pecos Rd, North Las Vegas NV, 89086-4400. NPI Number Theresa Chong O.D. has the Individual type.

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1083878789 NPI number is provided on an as is basis without warranty of any kind. 1083878789 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Chong O.D. are for informational purposes only.