Individual
WAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 WATERSIDE RD, PRINCE GEORGE, VA 23875-1265
(804) 287-2020
(804) 733-7390
Mailing address
2015 WATERSIDE RD, PRINCE GEORGE, VA 23875-1265
(804) 287-2020
(047) 337-3908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1518747609
VA
152W00000X
Optometrist
Primary
PENDING
VA
152WC0802X
Corneal and Contact Management Optometrist
1518747609
VA
Other
Enumeration date
10/05/2023
Last updated
08/06/2025
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