Organization
KONG L CHANG OPTOMETRIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONG CHANG OD (HEAD DOCTOR)
(405) 840-5664
Entity
Organization
Contact information
Practice address
5801 N MAY AVE STE 110B, OKLAHOMA CITY, OK 73112-3947
(405) 840-5664
(405) 840-5663
Mailing address
5801 N MAY AVE STE 110B, OKLAHOMA CITY, OK 73112-3947
(405) 840-5664
(405) 840-5663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2355
OK
Other
Enumeration date
04/16/2007
Last updated
04/20/2008
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