Individual
VIVIENNE THERESE KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19 VILLAGE SQ, CHELMSFORD, MA 01824-2712
(978) 256-5600
(978) 703-0250
Mailing address
MASSACHUSETTS EYE ASSOCIATES PC, 19 VILLAGE SQUARE, CHELMSFORD, MA 01824-2712
(978) 256-5600
(978) 703-0250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3434
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354228
—
MA
Enumeration date
08/16/2005
Last updated
11/14/2007
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