Individual
MRS. SUSAN HSIN MEI FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001026
VA
152W00000X
Optometrist
Primary
OPT.0002518
CO
152W00000X
Optometrist
TA1598
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018714
KAISER COMMERCIAL NUMBER
CO
05
—
88005038
—
CO
Enumeration date
01/12/2007
Last updated
10/30/2023
Update your record
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