Organization
DR. WONG & ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN WONG O.D. (PRESIDENT)
(203) 743-9897
Entity
Organization
Contact information
Practice address
7 BACKUS AVE STE 250, DANBURY, CT 06810-7493
(203) 743-9897
(203) 743-6419
Mailing address
7 BACKUS AVE STE 250, DANBURY, CT 06810-7493
(203) 743-9897
(203) 743-6419
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT002529
CT
152WC0802X
Corneal and Contact Management Optometrist
CT002529
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03256
MEDICARE LEGACY BILLING
CT
Enumeration date
01/16/2007
Last updated
08/29/2007
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