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Organization
WANG OPTOMETRIC ASSOCIATES INC.
Active
Organization
WANG OPTOMETRIC ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHENG YU WANG OD (PRESIDENT)
(951) 422-2381
Entity
Organization
Contact information
Practice address
15908 BEAR VALLEY RD, SUITE A, VICTORVILLE, CA 92395-9547
(760) 243-4559
(760) 243-2052
Mailing address
15908 BEAR VALLEY RD, SUITE A, VICTORVILLE, CA 92395-9547
(760) 243-4559
(760) 243-2052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8032TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EV797A
MEDICARE PTAN
CA
05
—
SD0080320
—
CA
Enumeration date
12/09/2010
Last updated
03/14/2018
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