Individual
DR. ELMER WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6700 N 1ST ST, 103, FRESNO, CA 93710-3900
(559) 438-6440
(559) 438-4324
Mailing address
6700 N 1ST ST, 103, FRESNO, CA 93710-3900
(559) 438-6440
(559) 438-4324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8139T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0081390
—
CA
Enumeration date
06/29/2006
Last updated
04/16/2010
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