Individual
DR. RANDY LAI YUU WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
22511 HIGHWAY 99, STE 112, EDMONDS, WA 98026-8398
(425) 670-9888
(425) 670-2402
Mailing address
22511 HIGHWAY 99 112, EDMONDS, WA 98026-8398
(425) 670-9888
(425) 670-2402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003999
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033587
—
WA
Enumeration date
09/02/2005
Last updated
01/15/2019
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