Individual
DR. THOMAS ANDREW WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
201 NORTH WASHINGTON STREET, FALLS CHURCH, VA 22046
(703) 237-4020
(703) 536-1395
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS, ROCKVILLE, MD 20852
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001118
VA
152W00000X
Optometrist
OP633
DC
152W00000X
Optometrist
TA1063M
MD
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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