Organization
DORIS H WONG OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS H WONG OD (PRESIDENT)
(808) 721-7167
Entity
Organization
Contact information
Practice address
5580 SPRINGDALE AVE STE E, PLEASANTON, CA 94588-3707
(925) 463-3100
(925) 463-3101
Mailing address
5580 SPRINGDALE AVE STE E, PLEASANTON, CA 94588-3707
(925) 463-3100
(925) 463-3101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13121T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA113118
—
CA
Enumeration date
01/20/2014
Last updated
03/27/2015
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