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Organization
WFT OPTOMETRIC GROUP
Active
Organization
WFT OPTOMETRIC GROUP
Active
Other names
Wesley F Tom OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY FONG TOM OD (CHIEF EXECUTIVE OFFICER)
(213) 220-9241
Entity
Organization
Contact information
Practice address
2825 CRENSHAW BLVD, LOS ANGELES, CA 90016-3603
(323) 373-9633
(323) 373-9844
Mailing address
2825 CRENSHAW BLVD, LOS ANGELES, CA 90016-3603
(323) 373-9633
(323) 373-9844
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0946900
—
CA
Enumeration date
07/31/2020
Last updated
11/27/2023
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