Organization
MICHAEL WONG OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K.H. WONG O.D. (OWNER)
(808) 735-7633
Entity
Organization
Contact information
Practice address
1401 S BERETANIA ST, SUITE 340, HONOLULU, HI 96814-1870
(808) 735-7633
(808) 735-2400
Mailing address
1401 S BERETANIA ST, SUITE 340, HONOLULU, HI 96814-1870
(808) 735-7633
(808) 735-2400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD133
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05158901
—
HI
Enumeration date
04/20/2007
Last updated
01/13/2012
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